Citizen Concerns & Inquiries Form

Please complete the form below with your request information.  By choosing a "Request Type" this will ensure your request is automatically routed to the appropriate member of the Borough staff who will address your request as soon as possible.  Thank you for using our online Citizen Concerns & Inquiries system.

Your Information
First/MI.:
*
Last Name:
*
Address:
*
Address 2:
City:
*
State:
*
Zip:
*
Phone:
 Ext.: 
Alt. Phone:
 Ext.: 
Email:
Request Details
City:
Street #:
Street:
*
Cross St:
Request Type:
 *
Comments:
 I would like to be notified by email of updates to this request
 I would like to be notified by phone of updates to this request