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City Home > Services > Citizen Request Center > Create Citizen Request Center Ticket

Citizen Request Center

Add New Service Request

NOTE: In accordance with Florida law, all information entered is public record.
*Required fields are indicated in red. All other fields are optional, but become public record if provided.


Issue:

Police - Operation Identification

First Name:

Last Name:

Home Address:

City:

State:

Zip Code:

Daytime Phone:

Email:

 

Problem Description

Street Address or Intersection

Additional Address Information (Unit or Apt. Number, etc.)

 

     Please enter the make, model, and description of each item along with each serial number and any identifying marks (5000 character limit)

Characters remaining:

I would like to attach images to illustrate the issue described above.

 

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