Corrective Action Taken Form

Property owners who perform their own repairs must complete a Corrective Action Taken Notification Form and promptly return it to the appropriate Code Enforcement inspector via email (to listed on the notification letters), mail to Code Enforcement at the address below or fax to (757) 385-5694. Property owners who complete their own Red Tag repairs and submit a Corrective Action Taken Notification Form are assuming full responsibility for the safety of the property, occupants and for any damages caused by performing repairs.

Date of Corrective Action

Inspector Name (listed on Violation Notice)

Description of Corrective Action Taken

Signature

By checking this box I hereby certify that the unsafe condition(s) have been repaired and the appliance/equipment is properly installed and is capable of safely performing the intended function.

Submitters Phone Number

Today's Date