If you have a specific request for action to be taken by the County, such as reporting a pot hole, street light outage, or code enforcement concern, you may submit it through our Citizen Request Form.

Please complete the entire questionnaire. Please note, if the information you provide is incomplete or the County has questions about your request, we may not be able to fully investigate if we cannot contact you. Once we determine which department should receive you request, it will be entered into our tracking system.

Please Note: (*) indicates required fields.

1

Contact Information

 *

Contact Information

Name

Address

Address 2

City, State, ZIP Code

Email Address

Phone

2

Request

Site Address of Location:

 *

RequestSite Address of Location:

Please enter address/location in the box provided.

Please enter the details of your request in the box provided.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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