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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

    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