City of Tukwila
Code Enforcement Request for Action Form

It is the City's policy to keep the names of those filing complaints confidential.
In the event of appeal or other legal action, ALL information may be subject to disclosure.

Please Enter Today's Date:
Reported By:	CityResident   Work in Tukwila Visitor   City Employee     Department:
Violation Location--Street Address:
Describe Location of Violation (ie, rear yard, behind garage, along fence line, etc.):
Tenant/Landlord/Owner information (if known):
Describe hazard/ problem in detail:
CONTACT INFORMATION
We would appreciate receiving the following information in the event we find it necessary to clarify specific details of a complaint
REQUEST CONTACT?	Yes   No
Your Name:
Your Email Address:
Your Street Address including City/ State/ Zip:
Your Home Phone (include area code):	Work Phone: