ALLIANCE - PROPERTY REPORTING

First Name *

Last Name *

Company Name *

Phone *

Email *

Who is Reporting the Property *

Code Enforcement
Home Owners Association

Property Address (Include Unit/Apt #) *

City *

State *

Zip Code *

Is the Property Located in a Gated or Restricted Access Community *

Is the Property Located in a Home Owners Association *

Homeowners Association Name

Homeowners Association Contact

Homeowners Association Contact Phone Number

Homeowners Association Contact Email

What is the Property Type *

Commercial
Residential - Single Family
Residential - Duplex
Residential - Triplex
Residential - Quad
Residential - Condo/Townhome
Vacant Lot

What is the Property Status *

Occupied
Vacant
Unknown

What is the Violation Status *

Issued
Not Issued

What is the Amount of the Fine *

What Violations Exist *

Condemnation Notice
Demolition Notice
Property Open and Abandoned
Debris (Int and/or Ext)
Lawn Maintenance
Pool Maintenance/Security
Vandalism/Graffiti
Outbuilding Issues
Structural Issues
Illegal Conversion
Other

If Other Please List

What is Priority for Resolution *

Life and Safety (1Day)
High (2 Days)
Medium (3-4 Days)
Low (5 Days or Greater)

Parcel Number

Additional Relevant Information

Type Text

Neon CRM by Neon One

Timeout Warning

ALLIANCE - PROPERTY REPORTING