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Comment & Suggestion Form

2. Please use this form to enter a comment or suggestion. Select a category from the list, then a clear description of your comment or questions. You must fill in your name and address. If you wish to be contacted, please include your phone number and/or email address.

4. Department*
   -- Select One --AdministrationAnimal ControlBuilding & GroundsCommunity DevelopmentCounty ClerkCourtsDrainEmergency ManagementEqualizationFinancial ServicesFriend of the CourtGIS MappingHealth DepartmentInformation SystemsLegalMotor PoolMSU ExtensionParksPersonnelPrinting / MicrofilmingProsecuting AttorneyPublic SafetyPurchasingRegister of DeedsReport Website IssuesResource RecoverySheriffTreasurerVeterans' Services

6. Comments/Suggestions*

8. First Name*

9. Last Name

11. Address*

13. City*

14. State*

15. Zip*

17. Daytime Phone

18. Email*

20. Disclaimer

    The following procedure is provided for your convenience. The County will attempt to address your issue in a timely manner upon receipt. However, the County cannot guarantee an immediate response to your issue through this procedure. If you feel that your issue is of an urgent nature and/or may constitute a threat to health, safety, and welfare, you should contact the County directly at 269-983-7111.

    1. I Agree
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22. 1. Receive an email copy of this form.
23. Email address

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