Illegal Activity Complaint Form

What are you reporting?
What type of work is being performed?
Painting/Lead Based Paint Removal Plumbing
Flooring Electrical
Siding Roofing
Excavation Concrete
Fencing Paving
Remodeling Gutters
Interior Tree Removal/Trimming
Other - Describe Below
Oregon Jobsite Information
Is there an active jobsite? Yes No
Are you the property owner? Yes No
Street Address
When was the jobsite last active?
Contractor Information
Contractor Name
CCB License Number
Brief explanation of what the contractor is doing:
Your Contact Information
Name Phone Number Email Address
Do you want a call-back Yes No