REQUEST FOR SERVICE/ COMPLAINT FORM

This form is being provided for, the convenience of citizens and officials of the City of Union in order to take information necessary to properly handle and process request for service/complaints received. To increase the efficiency of our office, and to better serve the public, we ask that you complete this form.

We request your name, address, and telephone number so that we may contact you for additional information, ifneeded. Also, your willingness to provide us with this information helps us to determine the urgency of the request. Please be assured that your name will not be used during the investigation.

Type
Date / Time
Request by: Name
Address
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