E-Gov Services City Of Monroe

Request for Additional Action Line Item

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Please note that this form does not submit to any operational department nor is it to be used to submit a specific incident or concern. This Action Line item is used to request that additional Action Line item types or categories such as "Waste/Refuse, Street Repairs, Blight" be developed. Please use this item only to request new item types be developed and created.

Use this form to request that that an additional Action Line item be developed and posted on the City of Monroe website. The City will make every effort to produce items that will benefit the residents of the City of Monroe and Monroe County. The City does, however, reserve the right to reject or edit requests as appropriate.

* Information is required.

Contact Information

* First Name:
* Last Name:
Business Name:
* Email:
Daytime Phone:	() –
Address:
City:
State:
ZIP:

Please list the department, if any, that your request applies to.

Please list the preferred category name of the request.

Please list the preferred Action Line title.

Please list the anticipated purpose/goal for the item.

* Please describe the information that you would like added.

Check here to have email confirmation of this request sent.

* Information is required.

Notes:

If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Information we receive may be considered public information which is subject to disclosure under current state law. Learn more about our Privacy Policy.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.