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2. Public unable to attend the meeting in person may submit a comment to the board utilizing this form.

   All submissions must be received by close of business seven (7) days prior to the meeting to ensure that they can be included in the updated meeting packet.

4. Name*
6. City*
7. State*
9. Board / Committee for Comment*
   -- Select One --Accounts Payable CommitteeAirport CommissionBoard of CommissionersBoard of HealthCriminal Justice CommitteeHuman Services CommitteeEDC/BRA/HFAInformation Technology / EqualizationLand Bank AuthorityParks CommissionPersonnel/Ways & Means CommitteePolicy & Procedures CommitteeRetirement Administrative Review CommitteeRules & Appointments CommitteeSolid Waste Coordinating CommitteeRecovery Housing SubcommitteeDepartment on Aging Advisory BoardEmergency 911 District BoardHomeland Security & Local Emergency Planning CommitteePhysical Resources CommitteeDepartment of Veterans Affairs Executive CommitteeLand Bank Sales Subcommittee

   Please indicate to which meeting would you like your public comment placed on file.

11. Subject of Comment:*
13. Comments*
17. Contact Information

    Please provide contact information if you would like to be contacted by your elected representative.

19. Address
21. City
22. State
23. Zip Code
25. Phone Number
26. Email Address
28. Contact Information*

    Would you like to be contacted?

    1. Yes

    1. No
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field