Property Complaint Form

Parcel number (###-##-###-###)

Property Address

Major Cross Streets

Witness Information:

Full Name

Company or Agency (if applicable)

Street Address

City

State

Zip code

Phone

Complaint Information:

Incident Date

Complaint

If the incident you are reporting is in regard to illegal dumping on Clark County Department of Aviation property, please complete the fields below.

Illegal Dumping:

Incident Time

Vehicle License Plate

Vehicle Description

Violators Description

Material Dumped