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Department Contact Form

2. First Name*
3. Last Name*
5. Address1
7. Address2
9. City
10. State
11. Zip
13. Phone
15. Email*
17. Message
19. To which department(s) would you like to send your message? Please select all that apply.

    1. Administration
    2. Building Inspection
    3. Planning/Economic Development
    4. Public Works
    5. Senior Center
    6. Code Enforcement

    1. Police Department (non-emergency only)
    2. Fire Department (non-emergency only)
    3. Library
    4. Municipal Court
    5. Water Utility

    1. City Clerk & Elections
    2. Parks & Recreation
    3. Community Media & WVMO
    4. Sustainability
    5. Transit (Monona Express and Monona Lift)
21. Do you want a confirmation or followup email from a city staff member regarding your concern?

    1. Yes, please contact me to confirm that the issue has been resolved.
    2. No, no need to follow up with me.
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field