Action Center / Concerns About Your Neighborhood / Rensselaer, IN

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Please use this form to report concerns about your neighborhood.

* Denotes a required field

Please include contact information if you would like to be contacted by our office. Feel free to report your comment anonymously if you wish.

First Name

Last Name

Telephone

Phone Area Code-Phone 3-Phone 4 ext Extension

Other Concern

Describe Problem*

Specific Location of Problem*

Please Do Not Complete The Following Field