CITIZEN REQUEST FORM

 

The Citizen Request Form is designed to send The City of New Lexington a request for service. Please fill out the following form below and then click submit. Your request will then be reviewed by city department heads. 

 

         1. Personal Information

2. Which Department is this request for?

 

 

 

 

Name *

Address *
Address 2
 New Lexington, OH
Phone *
E-mail *

(* Denoted a required field)   

3. Please describe your request with as much detail as possible. Please include addresses, streets numbers, account numbers (if applicable), or any other information that may speed processing of your request.

 

                               

Copyright ® 2002 - City of New Lexington, Ohio