Citizen Request to Speak

2. Citizen Request to Speak
   If you have written comments or reports that relate to your remarks, please attach via the upload button below. Council Staff Members are available to assist you if needed. <br><br> Thank you for being a part of your City Government.

   If you have written comments or reports that relate to your remarks, please attach via the upload button below. Council Staff Members are available to assist you if needed.
   
   Thank you for being a part of your City Government.

4. Would you like to speak at:

   1. Monday, Administrative Council Meeting
   2. Tuesday, City Council Regular Meeting

6. Agenda Topic?*

   1. This topic is not an agenda Item.
      
   2. This topic is an agenda item.

7. Resolution Number

8. Ordinance Number

10. I wish to speak about:

12. First Name

13. Last Name

15. Email

16. Phone Number

18. Address1

20. Address2

22. City

23. State
    -- Select One --ALAKAZCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNUTVTVAWAWVWIWYDC

24. Zip

26. Upload a File

    There is a 250 MB limit on each file upload.

Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

* indicates a required field