Citizen Service
Public Works / Water Operations
Discover All We Have to Offer

1) Selected Service Request : Water Sample Request
Water division will collect sample and have lab analyze. These are usually in conjuction with taste or odor problems

2) Provide Details
about your Request
Where is Problem: NOTE. IF THE LOCATION OF THE PROBLEM IS THE SAME AS YOUR ADDRESS
(or there is no problem) YOU DO NOT HAVE TO FILL IN THESE NEXT TWO FIELDS:
Location
Place Name:

3) Enter your Contact information:
Star * = Required Information
Are You Contacting us as:
[ an Individual Citizen ] or [ a Business ]
Thank you. PLEASE INTRODUCE YOURSELF:
First Name:*
Last Name:*
Business:
Address: - BREAK YOUR STREET ADDRESS INTO 3 PARTS:
Street Number:* EXAMPLE [ 134 ]
Street Dir: EXAMPLE [ NW ]
Street Name:* EX [ Main St ]
City: ST: ZIP:
Contact Information : MAKE IT EASY FOR US TO CONTACT YOU.
[ Home] [ Work]
Alternate Phone: [ Home] [ Work]
Fax Number:
Your Email:
 
 

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