Bronx Community Board 11 - Comment/Complaint Form

HomeAbout CB11 - Board Members - CB 11 Map - Historical Perspective of CBsMeetings - Calendar - Agendas - MinutesResources - Banks - Community Groups/Organizations - Elected Officials - Libraries - NYCHA Developments - Post Offices - Religious Institutions/Organizations - SchoolsFormsContact CB11 - Comment/Complaint Form

Adobe Acrobat Reader
(required to view PDFs)

If your request for assistance involves a City of New York agency, please obtain a 311 service request number before filing a complaint with the Community Board. Also provide the 311 service request number or numbers below. Include as much detail as possible about your problem/issue/concern. Indicate EXACT location, days and times of occurrence, and if any other agency has been contacted (this includes elected officials). Specific facts are of primary importance.

Printable version of the Complaint Form (in PDF)

Title:
Name:
Street Address:
Zip Code:
Email Address:
Work Phone:
Home Phone:
Cell:
Fax:

NYC 311 #(s):
Complaint:

Please enter the letters you see in the graphic below (required):
(letters are not case-sensitive)

Listen to and enter into the text field the digits you hear

Get new image
What is this?