Citizen Complaint Form
If you wish to remain anonymous, do not fill out the complainant information or
sign the form. Please be advised that anonymous complaints are not typically
investigated as priority items.
1582 Kronenwetter Drive
Kronenwetter, WI 54455
715-693-4200
Violation Property Information
Name__________________________________________________
Address________________________________________________
Phone #__________________________
Complainant Information (Optional)
Name__________________________________________________
Address________________________________________________
Phone #__________________________
Property Information
Section:______________
Township:______________
Range:______________
Address___________________________________________________________________
Violation Information (Give complete details and provide pictures if applicable)
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Signature_____________________________________________
Date_____________________________
_____________________________________________________________________________________________
FOR OFFICE USE ONLY:
Violation #_____________________________________________
Date______________________________
Action Taken:__________________________________________________________________________________
_____________________________________________________________________________________________