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General Comment Form

Leave This Blank:

Please use this form to provide us with any complaints or comments regarding any of the City departments or services. Your comments will be forwarded to the appropriate department and handled accordingly.

First and Last Name:

Contact Phone:

Your street address:

Email Address (if you would like to be contacted):

Which department or service does this relate to (please choose one):*

	Police
	Public Works
	Business License
	Building Services
	Planning & Zoning
	Parks & Recreation

	Clerk's Office
	Southern Museum
	Property Tax
	Sanitation Billing
	Mayor & Council
	Other

Please describe the nature of your comment or complaint:

Have you contacted anyone regarding this issue?

Yes

If your answer to the previous question was YES, who did you speak with (if known):

* indicates required fields.

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