Noise Complaint Record Log Form
Use this form to record details of a noise complaint case. Please provide accurate and complete information for proper logging and follow-up.
Date and time of the noise incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of the incident (address, area, or description)
*
Description of the noise complaint
*
Source or type of noise
*
Please Select
Loud music
Construction
Traffic
Animals
People
Other
Severity of the noise
*
Low
Moderate
High
Number of people affected
Has this noise occurred before?
*
Yes
No
If yes, how often has this noise occurred?
Follow-up actions taken or recommended
Submit
Should be Empty: