Citizen Action

Use this form to share your comments (thoughts, ideas, questions) about neighborhood safety, or share your community safety activities or programs with us.

To receive regular neighborhood safety e-news alerts, please make sure to check the "yes" box and enter your email address.

Community Type / Description:

Residential	Commercial
Apartments Townhomes Condominiums Single-family homes	Low-rise office Medium to high-rise office Retail Industrial
3. Community Size (number of homes or businesses)  0-10 10-25 25-50 50-100 100+
4. Community Location Dist. 1 (Helen Goreham) Dist. 2 (Joe L. Thompson) Dist. 3 (Tim Lee) Dist. 4 (Annette Kesting)  -or- If you are unsure of your commission district, please enter your zip code Zip Code:
5. Community Association: Homeowners Business None
6. Association or individual contact information: Name: Email:    Re-enter e-mail  7. Would yo u like to be added to our e-mail notification group and receive news, alerts, and event information from us?  Yes     No

 8. Share your safety programs, ideas, comments and/or concerns