BoH Complaint_Submission1387_2/18/2020 10:18:39 AM_ Board of Health Complaint form
This form captures submitted complaints for Salem's Board of Health
- ` department to investigate.
Fields with a * are required to be entered. Some fields are greyed
out but will auto populate from other field entries on the same form.
KIMBERLEY DRISCOLL
MAYOR
DAVID GREENBAUM,IRS
HEALTH AGENT
Date* 2/18/2020
10:18:39 AM
Complaint Type* Trash
Street Number 2
Street Name* WYMAN AVENUE
Unit Number
Occupant Name
Parcel ID
Inspector Account SALEM\Jbarosy
Ward 3
Land Use
Complainant Anonymous
Name*
Complainant Phone 555-555-1234
Number*
Complainant Email
Address
Comment:* First house on right, after Rent All, across from Brennan Tree
Services..They have a disabled boat,trash,old cars in yard.
Neighbors have noticed rodent activity during day and night.
CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
98 WASHINGTON STREET,3RD FLOOR
TEL.(978)741-1800
Dgreenbaum@SALEM.COM