Please complete and submit this form so we can look into your concern or request and let you know what we can do!

Name*

Address*

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Home number

Work number

Cell number

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Type*

Assessment Billings Boulevards Curbs/Sidewalks Dogs Drainage Garbage Licenses Parks Recycling Roads/Lanes

Sewer Snow/Ice Street Lighting Taxes Traffic Signals Traffic Signs Unsightly Properties Water Weeds Other

Details of Concern/Request*

The information on this form is being collected under the authorization of Section 33(c) of the Freedom of Information and Protection of Privacy Act and, as such is protected by the provisions of this Act. If you have any questions, contact the FOIP Coordinator at (780) 678-3027.