On-Call Report - Public

• Address

• Location
  Address

• Unit ID

• Inspector

• Incident Number

• Call Date

  Date

• Time Call Received

  Date

• Arrival Time

  Date

• Time Back In Service

  Date

• Call Received From

  On-Call Supervisor

  Dispatch

• Additional City Personnel/Agencies on Site

• Nature of the Call

Call Findings & Results

• Owner/Agent Name

• OwnerAgent Street Address

• OwnerAgent City, State & Zip

• Owner/Agent Phone

• Tenant Name

• Tenant Phone

• Comments/Violations

• Photos

  Media

• Were the premises made UNSAFE/UNFIT?

  YES

  No

• How many occupants/tenants were dislocated from the building/unit?

• Did the occupant(s)/tenants have a place to go?

  Yes

  NO

• Did you provide relocation slip(s)?

  YES

  No

• Was the building secured with a city padlock?

  YES

  No

• Actions Taken

• Has this information been entered into Department Computer System?