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2. Date Observed*
   Please fill in the date you witnessed the demolition occurring.
3. Time Observed*

   1. Morning
   2. Afternoon
   3. Evening

   Please provide a time frame when you observed the demolition occurring.
5. Address of Demolition*
   Please provide an address where the demolition is occurring.
7. What did you observe?
   Briefly provide information on what you observed.
9. Your Name
   Please provide your contact information for any follow up questions.
10. Your Email Address
12. Your Phone Number
Leave This Blank:


13. 1. Receive an email copy of this form.
14. Email address

    This field is not part of the form submission.

15. Submit

* indicates a required field