Citizen Request Form

Citizen Request FormJarvis Swope2022-11-30T15:43:49-06:00

Fields marked with an * are required

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Name of Person Making Request *

Email *

Phone

Date of Request *

Address or Location of Complaint *

Reason for Request: i.e High grass, pothole, etc *

Please verify that you are a real person by answering the question: 2 + 2 = ? *

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