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Citizen Request / Concern Form

  Please complete the below form as completely as possible.  The more detail you are able to provide, the faster our staff will be able to take action on your concern.  
  Items with an * are required fields.  Your request or concern will be immediately routed to the appropriate staff member for review and action.  You have the option to be notified via e-mail any time action is taken on your request or concern and we encourage you to take advantage of this feature.  
   

Submit a new Service Request

  • 1. Personal Info
  • 2. Where and What
  • 3. Details
  • 4. Confirm

Tell Us About Yourself





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Choose how you wish to be notified about changes or updates to your service requests.

Please provide us with the following information regarding your request:

Where is the issue?

Search for an address, or drag the pin to the map to mark the location of the issue.

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What type of issue? *

Enter any comments you may have regarding this issue: *

Files

For certain issues, it's helpful to provide photos or documents to help us understand the issue. If you have any such files, please add them here.

    Thank you

    Your service request has been submitted. Below are the details. Please keep this information for your records. We will notify you when there are updates to the status of your request, based on your selected notification preferences.

    Your Comments

    What

    Where

    What would you like to do now?

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        If you have questions or need assistance, please contact our Web Support office at (660) 827-3000 x183.

       

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