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Complainant

Bylaw complaint form

First name

Last name

Email address

Phone number

Alternate number

Address of complainant

Complaint

Address of where alleged violation is taking place

Is the alleged violation taking place on public or private property?

Describe the nature of the complaint

Details (if applicable)

Make, model, and colour of vehicle

Vehicle licence plate number

I want to submit photos/documents

Yes

Date

^{Any personal information collected on this form will be managed in accordance with the Freedom of Information and Protection of Privacy Act. Direct enquiries, questions, or concerns regarding the collection, use, disclosure, or safeguarding of personal information associated with this form to: Supervisor, Information, Privacy, and Records Management, Township of Langley, 20338 – 65 Avenue, Langley, BC V2Y 3J1 foi@tol.ca 604.532.7396}