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Disabled Access Complaint Form

  • If you are unable to complete the form online due to disabilities, please contact the Building and Safety Division at (415) 485-3086 for assistance with your complaint.

    * Indicates Response Required
  • Complainant's Name * Required
  • Complainant's Address * Required
  • Property Owner's Address (if know)
  • Complaint Type(s) * Required
  • Confidentiality Notice
    To the extent permitted by law, the City will not disclose the identity of the complainant to members of the public or in response to Public Records Act requests or subpoenas.

    City of San Rafael Community Development Department
    Building and Safety Division 1400 Fifth Avenue
    San Rafael, CA, 94901
    Tel. (415) 485-3367, FAX (415) 485-3184
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