Audience Request Form 2020

Audience Request Form
Name of person(s) requesting an audience from the Housing Board of Commissioners:*

First NameLast Name
Brief description of issue(s) being brought before the Board:*
Provide a short summary of action you wish to be taken by the Board: *
Contact Phone Number:*

Area CodePhone Number
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I understand that all persons attending the Board of Commissioners meetings must conduct themselves in a professional and businesslike manner. Abusive language, fighting, threats of any nature, yelling or disruptive behavior will not be tolerated. Persons who fail to conduct themselves in a businesslike manner will be asked to leave the meeting immediately. Audience requests will be held in executive session and will be allowed 15 minutes to address the board with their concerns
The Board of Commissioners have no obligation to take action on any appeal, issue or concern that is brought to the board at the time of the meeting.*
Signature
Date*

MonthDayYear
Date
Should be Empty: