Clanton, Alabama

Action Center

* DENOTES A REQUIRED FIELD

1. Select the type of problem that you are reporting.

*Nature of Problem:


2. Briefly describe your request in the space provided. Please be as specific as possible.

*Description of Problem:

3. Enter the address or location as well as the nearest intersection of the problem that you are reporting in the space provided.

Location:

Contact Information

Name:
*E-Mail:
Address:
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Home Phone:
Work Phone:
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