El Dorado Hills Community Services District Complaint Form

We take your complaints very seriously. Please tell us as much as possible using the form below. Thank you.

Complainant Information
Date of Complaint:
Your Name:
Address:
Village:
Unit #:
Lot #:
APN:
Phone (day):
Work Phone:	ext:
Mobile Phone:
E-mail Address:
Nature of Complaint:
Alleged Violator Information (please provide as much information as possible)
Alleged Violator Name:
Address:
Village:
Unit #:
Lot #:
APN:
Phone (day):
Work Phone:	ext:
Mobile Phone:
E-mail Address:
Enter web form code