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Citizen Respond or Concern Form
The goal of the DEI Citizens Response Work Group is to identify systemic problems that prevent people from benefitting from services equitably. By sharing your experiences it will increase understanding of issues and help develop solutions that meet your and the community needs.
All issues will be reviewed, but some concerns may be distributed or forwarded to others to find best resolutions.
Please enter your information:
Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Phone
###
-
###
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####
Email
Comment / Complaint / Idea
Please share any possible solutions or suggestions.
Would you like to be a part of the process to idenitfy and implement solutions?
Yes
No