Citizen Request Form
Citizen Comment / Complaint / Request for Service
Name
First Name
Last Name
Would you like to be contacted by the appropriate department?
Yes
No
Phone Number
The phone number provided will be used solely for purposes related to this request.
Email
Please enter your email address so we can follow up on your request. example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason for Submission
Comment for City Council
Employee Conduct Complaint
General Complaint
Property Maintenance
Request for Service
Other
Have you previously contacted city staff regarding this issue?
Yes
No
If yes,
When?
Who did you speak with?
City
State / Province
Postal / Zip Code
Details of Submission:
Please be as specific as possible, including all relevant times, dates, locations, details, and the inclusion of any photos or documents.
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