Complaint Form

Your Contact Information

Complainant First Name:

Complainant Last Name:

Complainant Primary Phone:

Complainant Email:

Complainant Street:

Complainant City:

Complainant State:

Complainant Zip Postal Code:

Subject:

Description:

Address of Subject Property:

If you have documents to submit, please email them to:
robert.nguyen@dia.iowa.gov


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