Illegal Activity Complaint Form

What are you reporting?
Advertising
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 New Construction Solar
Other - Describe
Oregon Jobsite Information
Is there an active jobsite? Yes No
Are you the property owner? Yes No
Note: Failure to provide an active job site address may limit the capability to address the complaint.
Street Address
City
When was the jobsite last active? (MM/DD/YYYY)
Contractor Information
Contractor Name
CCB License Number
Brief explanation of what the contractor is doing:
Your Contact Information
Do you wish to keep your name and contact information confidential? Yes No
If you choose Yes, the CCB will keep your name and contact information confidential unless required by law.
 
Name Phone Number Email Address
Do you want a call-back? Yes No