Required fields are marked with asterisks (*)

Town of Shelburne Complaint Form

Complainant Information

What is today's date

What is your first name

What is your last name?

What is your phone number?

What is your address?

What is your email address?

What is the address you are complaining about?

Please provide a brief description regarding the nature of your complaint:

Please Note: Information is collected under the Freedom of Information and Protection of Privacy Act. Confidentiallity will be maintained to the best of our ability, however, should a charge be laid by the Municipal Law Enforcement Officer, your name may be required to be released in the event of court action.