Homeless Encampment Reporting Form
Please fill out this form to report a homeless encampment and specify your concerns or requests.
Date of Report
*
-
Month
-
Day
Year
Date
Encampment Location Type
*
Private property
City of Greensboro property
County property
Unknown
Are you the owner of the private property?
*
Yes
No
Your Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Would you like to be contacted about your concern?
*
Yes
No
Approximate address of encampment
*
Additional information about location (e.g., behind a building, under a bridge, etc.)
What is your goal in reporting this encampment?
Requesting outreach to the individuals for resources
Requesting clean-up of the area
Requesting enforcement/banning individuals
Submit Report
Should be Empty: