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Inquiry, Complaint, or General Comment

2. About this Form
   Please use this form for general questions, inquiries about city services, and complaints. Please fill out the form completely.

   Please use this form for general questions, inquiries about city services, and complaints. Please fill out the form completely.

4. Name

5. Date
   Date

7. Address

9. Telephone

10. Email

12. Where to Direct Your Inquiry
    -- Select One --AirportCity ManagerClerkDDAFire / EMSGolf CourseMarinaMt. McSaubaPlanning / ZoningPoliceRecreationStreetTreasurerWater / ElectricUnsure

14. Describe Your Inquiry or Complaint

16. Follow-Up

    The City will address your issue within a reasonable time frame. If you would like a follow-up contact, please let us know.

    1. Yes, I want a follow-up call.
    2. No follow-up necessary.
18. Resolution to Problem / Notes

20. Staff

21. Title

23. Date
    Date

Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field