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CITIZEN NUISANCE COMPLAINT FORM Date of Complaint: Complainant Information (optional) Name: Address: _ Telephone Number: Email Address: Offender Information Name: Address: Detailed description of the nuisance condition (include dates, times, and any pertinent information as to how the condition is creating a nuisance): Signature of Complainant (optional) Date Complaints may be submitted anonymously—however, the City of Cody encourages complainants to include a signature and contact information on complaint forms. This information will support a timely, complete investigation by allowing the assigned investigator to request additional information and to advise the complainant with status updates if applicable. SIGN