Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Property Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

What is the nature of the violation? (Select all that apply) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Please describe below {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Is the property residential or commercial? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Is anyone actively residing on the premises? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Description of the Suspected Violation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

If you have photos or other documents you feel are useful please submit here: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Property Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

What is the nature of the violation? (Select all that apply) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please describe below {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Is the property residential or commercial? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Is anyone actively residing on the premises? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Description of the Suspected Violation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

If you have photos or other documents you feel are useful please submit here: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Property Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

What is the nature of the violation? (Select all that apply) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please describe below {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Is the property residential or commercial? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Is anyone actively residing on the premises? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Description of the Suspected Violation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

If you have photos or other documents you feel are useful please submit here: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}