CLEARWOOD COMMUNITY VIOLATION  ONLINE FORM

Describe in detail the circumstances surrounding the alleged violation of the Association’s Covenants, By-Laws and/or Rules and Regulations. If possible, provide photographs, names of witnesses willing to attest to the alleged violation, etc., anything you feel will assist the Violation Committee in resolving this issue. Use the back of this page if necessary.

DATE(S)/TIMES OF ALLEGED VIOLATION(S): _____________________________________________________

NAME(S) OF ALLEGED VIOLATOR(S): ____________________________________________________________

ADDRESS/DIVISION AND LOT WHERE OF ALLEGED VIOLATOR(S) LIVE/VISIT: _____________________

__________________________________________________________________________________________________

ALLEGED VIOLATION (INCLUDE LOCATION IF DIFFERENT FROM ADDRESS): _____________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

REPORTED BY:

TODAY’S DATE: __________

NAME: ___________________________________________ PHONE NUMBER: _____________________________

DIVISION/LOT: _______/_______ ADDRESS: _________________________________________________________

You may be asked to appear before a Violation Review Panel to bear witness to the alleged violation.

When you have filled in as much as possible, drop the form off or mail it to Clearwood Community Association, 21603 N. Clear Lake Blvd. SE, Yelm, WA, 98597

RESERVED FOR USE BY THE VIOLATION COMMITTEE

REF: Rules and Regulations, page(s) , paragraph(s) , Warning/$ .00
Any previous violations of same type within past year: Yes No 2nd 3rd 4th 5th 6th th
Verified: Yes No by:
On agenda dated:

Bulletin