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Community Development Department

900 Church Street


Form Section 1

14 Day Repair Request Complaint Letter

City of Lynchburg

Responsible parties are the owner of record AND the occupants. If an inspection is conducted, sanitation and other occupant related code violations may be cited. All building code notice of violations reports are subject to court action and criminal charges for all responsible parties.

Note: Rental complaints not registered with the Lynchburg Residential Inspection Program will automatically be added to the program and scheduled for an inspection of the exterior and interior.

Today's Date
Date Picker

Information about Person Requesting Repairs

Name of Person REQUESTING Repairs ~ Occupant/Tenant
Property Address of Complaint ~ REQUESTING Repairs

Information about Property Owner or Management Company Responsible for Repairs

Name of Property Owner or Management Company On Lease to MAKE Repairs
Property Owner or Management Company on Lease to MAKE Repairs Address

List each repair requested below:

Thank you for your attention to this matter. You can reach me (the occupant) directly at my contact number or email to schedule these repairs.

Note from the City of Lynchburg:

This is a courtesy 14 day letter as owner compliance is preferred. However,  the City of Lynchburg Inspections Department may conduct an inspection for the possible listed violations along with any additional items observed during an inspection if repairs are not corrected.

Occupant/complainant agrees not to impede repairs by allowing owner/agent access for the remediation of all the repair(s) requested.

Contact a Property Maintenance Official

Rental:   Dana Horne 434-455-3922 
Housing: Keith Wright 434-455-3921

Signature of Occupant/Tenant Authorized to Request Repairs: