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Citizen Request for Services/Suggestion Form

2. The City of Mahtomedi endeavors to deliver all public services in a professional manner and to respond promptly to all citizen inquiries and concerns. Feel free to submit your question, comment, suggestion, or compliment using the form below. **Please note: Fields below that are in bold and with an * are required.
4. Reported location must be within the City of Mahtomedi Boundaries. The exact reported location/site address is required
6. Please use one form per request!
10. Contact Information
12. First Name
13. Last Name
15. Phone Number
16. Email Address
18. Street Address:
20. If We Require More Information, How May We Contact You?*

    1. Phone
    2. Email
22. Exact Location of Job Requested
    Please be detailed so that we may respond as soon as possible
24. Street Name, Address or Block Number*
26. Nearest Intersection
28. Request/Suggestion/Compliment*
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field