The City of Rensselaer, Indiana
Back home again in Rensselaer
Skip over navigation
31°
|
Forecast
Search
Search Submit
Menu
Home
Government
Clerk/Treasurer
Utility Office
Lifestyle
How Do I...
Start Content
Action Center
You are here:
Home
>
Action Center
>
Feedback on City Initiatives
Action Center Home
|
Log In
Feedback on City Initiatives
Step 1 of 1
Please use this form to report feedback on city initiatives.
*
Denotes a required field
Contact Information
Please include information if you wish to be contacted.
First Name
Last Name
Telephone
Phone Area Code
-
Phone 3
-
Phone 4
ext
Extension
Email
Likes/Dislikes
Which city projects do you like/dislike and why?
Affects of Projects
Have you been affected or will you be affected by any city projects and how?
Other Reports
Please Do Not Complete The Following Field
Do you have any other comments or questions?