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2. First Name*
3. Last Name*
5. Address1
7. Address2
9. City
10. State
11. Zip
13. Phone
15. Email*
17. Message

19. Please note:  these forms are not monitored outside of normal business hours.  For this reason, all messages for the Police and Fire departments, or for water or sewer emergencies, should be called in to the Monona Dispatch Center at 608-222-0463.

21. 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

    1. Code Enforcement
    2. Library
    3. Municipal Court
    4. Water Utility
    5. City Clerk & Elections

    1. Parks & Recreation
    2. Community Media & WVMO
    3. Sustainability
    4. Transit (Monona Express and Monona Lift)
23. 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.
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