Form Center

2. Town of Los Altos Hills
   26379 Fremont Road
   Los Altos Hills, CA 94022
   Phone: (650) 941-7222
4. Please Note:
   The Code Enforcement Officer is available on Monday, Tuesday and Friday.
6. Instructions
   
   1. Give your name, address, telephone number, and e-mail address (This information is for staff use only and is kept confidential) and indicate if you would like to be contacted by staff.
   
   2. Give the exact location of the problem, including: Street address with house number. If no address, describe the specific location of the property, i.e. northwest corner of West Fremont Road and Concepcion Road.
   
   3. Clearly describe the specific complaint/problem, providing adequate details. For example, "Wrecked blue Ford truck, license #3CDE456, flat tires, broken windows, parked on driveway" or "white refrigerator in front yard."
8. Your Name*
9. Date*
   Date
11. Your Address*
13. Your Phone Number*
14. Your Email Address
16. Would you like to be contacted?*

    1. Yes

    1. No
18. Address of Complaint*
20. Description of Complaint*
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit Submit and Print

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