E-Gov Services City of Harlingen

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Purpose. This form is used to communicate with city personnel to request services and request information. This Form should not be used for Public Information Requests.

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Contact Information

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

Issue/Problem Location:

* Address	- Or Other Not Listed - Invalid Address The address you entered does not match any in the system. You can select a valid address from the list, or if you are certain the address you entered is correct click the "Use the address I entered" button, to continue. The address you entered
Unit:
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Notes:

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

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