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Housing Complaint Submission Form

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Environmental Health

Housing Complaint Submission Form:

Contact info: This information is required, as we may need to follow up for more information.

Call the City of Racine Building Department at (262) 636-9464 for immediate assistance.

Housing Complaint Submission Form

"*" indicates required fields

Tenant Information: (Required)
Name*
First Name Last Name
Address: Please include unit number*
Street Address City ZIP / Postal Code

Phone Number
Email Address

Owner Information: (Required)
Owner*
Management Company*
Phone Number*
Email Address

Nature of Complaint*
Please call (262) 636-9464 for further assistance
Please only click submit once
Any information you provide on this form may be subject to disclosure under Wisconsin’s Public Records laws, in accordance with Wis. Stats. §§ 19.31-19.39.
Phone
This field is for validation purposes and should be left unchanged.

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