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Citizen Request Form
If you have a specific request for action to be taken by the Township, such as reporting a pot hole or code enforcement concern, you may submit it through our Citizen Request Form. You may also simply ask a general question.

Please complete the entire questionnaire. If the information you provide is incomplete or the Township has questions about your request, we may not be able to fully investigate if we cannot contact you. PLEASE NOTE: All information entered on our website can become a matter of public record with the exception of your phone number and email address, which we will keep only for our own use.

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Someone will get back to you within 2 business days
Contact Information
Name:*
Address:*
Address 2:
City, State, Zip Code:*
preferred phone number (daytime):
Email Address*
Request

Site Address or Location:
Please use this box to fully describe the issue you are writing about. If a road issue, list nearest address, cross street or other physical identifier