One Veteran's Way, Carnegie, PA 15106
Office 412-276-1414 Fax 412-276-8018

NOTE: Incomplete or inaccurate information will result in delay in the processing or investigation
NOTE: Enforcement activities will not be revealed unless a citation is filed with the District Magistrate
NOTE: When a citation is issued, you will be subpoenaed to provide testimony at the magistrate's hearing.

Complainant's Name:


E-mail and/or Telephone:

Address of Complaint / Violation:

Nature of Complaint / Violation:

E-Signature - I hereby declare that the facts set forth in this complaint are true and correct to the best of my knowledge, information, or belief: