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2. Instructions
   Please utilize this form for all City Hall related Service Request as we work through the Warranty Period. This form is only for use with the new City Hall. All other facilities requests should be entered through Accela.
4. First Name
5. Last Name
7. Department
   -- Select One --Capital ProgramsCity Attorney's OfficeCity Manager's OfficeCity Secretary's OfficeFire AdministrationFinanceHuman ResourcesInformation TechnologyMunicipal CourtPlanning & Community DevelopmentPublic Works
8. Today's Date
   Today's Date
10. Description of Request
    Please describe what you would like Facilities to do.
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12. 1. Receive an email copy of this form.
13. Email address

    This field is not part of the form submission.

14. Submit

* indicates a required field