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2. This form is being offered to residents who would like to offer a suggestion or comment or may have a question for the Veterans Commission. Please fill out the information.
4. Name
6. Phone Number
7. Alternate Phone Number
9. Email Address
10. Do you wish to be contacted?

    1. Yes
    2. No
12. Comments
14. Please Note

    This form is not intended for emergency purposes and is not monitored 24/7. If you need immediate general assistance, dial 211 or 911 for an emergency.

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16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

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