Citizen Park Issue

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FOR OFFICAL USE ONLY

IMPORTANT NOTES !!!!!!!!!!!BE ADVISED THAT THIS REPORTING FORM SHOULD NOT BE USED FOR REPORTING EMERGENCIES !IF THIS REQUEST CONCERNS PUBLIC SAFETY, CALL 911 IMMEDIATELY TO REPORT THE PROBLEM !THIS FORM WILL BE READ BY CITY STAFF DURING REGULAR BUSINESS HOURS.
INSTRUCTIONSBetween the Hours of 7 AM - 3:30 PM, Please Call 268-4361 for Normal Reporting of Parks & Recreation Issues.A Valid Phone Number & E-Mail Address Must Be Entered For This Request to be Processed.
First Name*
Last Name*
Phone #*
Business
Bldg #
Street
Apt/Suite
City
State
Zip
Email*
Home Phone #
Work Phone #
Please Indicate Which Park has the Issue.Please Indicate What the Park Item the Issue Concerns.
Inventory Type IDAsset Rec #
Problem
PLEASE DESCRIBE THE ISSUE IN DETAIL.INCLUDE ANY INFORMATION THAT WILL ASSIST CREWS IN LOCATING THE ISSUEPLEASE BE AWARE YOU MAY BE CONTACTED BY E-MAIL OR TELEPHONE FOR CLARIFICATION.
Please Describe the Issue in Detail*
Category*
Supervisor*
Status*
Department*

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