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EIP Notice:  Post-Landfall Resources and Information...

Home > Citizens Connect > Report a Problem/Request a Service > Service Request Information
Request Information:
Information about the service requested
* = Required Information
1. Select a Service Type from the list below*
2. Describe your Service Request in as much detail as possible*
3. Enter the address/location where service is being requested *

Please provide the street name, a corner, or an intersection of streets, and the nearest address or known landmark to help identify the location of the problem.
4. Fill in Contact Information*
Enter your name
First Name
Last Name
Enter your phone number and/or e-mail address
Phone
Extension
Email Address
Re-enter Email Address
By Clicking "Submit" you are agreeing to:
Disclaimer: By using the services provided by the Leon County, FL web site, the user agrees to indemnify and hold harmless Leon County and anyone involved in storing, retrieving, or displaying this information for any damage of any type that may be caused by retrieving this information over the Internet.
Public Records: Note that information provided through on-line means becomes public records and is subject to the same access requirements as if submitted on paper.
More information can be found on our accessibility and privacy policy page.
5. Attach a File (optional)
6. Complete Captcha*
Notice: The current web page is protected by Google's Captcha product. To complete the current request, the following captcha must be successfully completed. In the following cases, the Captcha will not load correctly and your request will not be submitted. Please use the latest browser or turn on JavaScript if there are any issues.
 

Celebrate Florida Emancipation Day during these upcomng local events hosted by our community partners: 20thofMay.com
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