By-law Complaint Form

Please complete this form if you'd like to report an concern about one of the following: canine-related, fireworks, littering/illegal dumping, noxious weeds, noise, parking or an untidy lot.

Required fields are marked with asterisks(*).

Please be advised that the Township of Essa does not investigate anonymous complaints.

First Name

Last Name

What is the primary nature of the complaint?

Canine-related

Littering/Illegal Dumping

Noxious Weeds

Untidy Lot

Fireworks

Noise

Parking

Other - select if your complaint type is not on this list

What is the date that the infraction took place?

Approximate time the infraction took place

Please provide a brief description outlining your concern

Would you like to provide pictures?

Yes

Would you like to be contacted by a member of staff?

Yes

Privacy statement

Personal information contained in this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), and will be used only for the purposes for which its collection was intended. If you require additional information, please view our Freedom of Information Policy.