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ORDINANCE VIOLATION COMPLAINT FORM

CHIPPEWA TOWNSHIP, ISABELLA COUNTY, MICHIGAN

Date:(*)

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Your Name(*)

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Street Addresss:(*)

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City:(*)

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Phone - Daytime:(*)

daytime phone number please

Phone - Evening:(*)

Please provide a phone number for us to contact our in the evening if needed. Thanks.

Your Email:(*)

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Representing whom?(*)

Please select either yourself or the other category and specify the organization / group you are representing.

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Type of complaint:(*)

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Complaint Details:(*)

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Complaint Details (Describe the situation - who, what, when, where, effects, how discovered)

Signature:(*)

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By filling in this form, you are electronically signing this document which will become an official record of the township.

Email to complaint@chippewatownship.com, mail to or place in the (tax payments) drop box at the Chippewa Township Hall, 11084 E Pickard Rd, Mt Pleasant MI 48858.

Ordinance Violation Complaint Form