Citizen Request to the Town

1

NAME - OPTIONAL   (Please provide your name if you would like to speak with a Town employee regarding the request you are submitting)

NAME - OPTIONAL (Please provide your name if you would like to speak with a Town employee regarding the request you are submitting)

2

PHONE NUMBER - OPTIONAL   (If you want to be contacted by a Town employee if we need more information about this request you are submitting)

PHONE NUMBER - OPTIONAL (If you want to be contacted by a Town employee if we need more information about this request you are submitting)ext.

3

EMAIL - OPTIONAL   (if you would like a copy of your submission and for the Town to use this method of contacting you regarding the information you are providing)

EMAIL - OPTIONAL (if you would like a copy of your submission and for the Town to use this method of contacting you regarding the information you are providing)

4

REQUEST   (Please be as specific as possible, including any location or other information that may help the Town to respond to your request)

 *

REQUEST (Please be as specific as possible, including any location or other information that may help the Town to respond to your request)

5

SEND MORE INFORMATION   (If you want to submit additional data, such as pictures or documents, please click this email address below to attach and send your digital information)

jtnhelp@jamestownri.net

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