Form Center

2. DO NOT USE THIS FORM TO REPORT A POLICE, FIRE OR MEDICAL EMERGENCY - DIAL 9-1-1. To report a non-emergency crime, please call non-emergency dispatch at (269) 488-8911.
4. Which department do you wish to contact?*
   -- Select One --City AssessorCity ClerkCity ManagerCommunity DevelopmentFinance DepartmentHuman ResourcesParks & RecreationPortage Senior CenterPublic InformationPublic Safety - FirePublic Safety - PolicePublic ServicesPurchasingTechnology ServicesTransportation & UtilitiesTreasury Office
6. Your First Name*
7. Last Name*
9. Email Address*
11. Subject
13. Your Message
Leave This Blank:


15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

* indicates a required field