2. First Name*
3. Last Name
5. Address
7. City
8. State
9. Zip Code
11. Departments*

    Please select one of the following departments

    1. Animal Control
    2. Admin Building
    3. Sheriff's Office
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13. 1. Receive an email copy of this form.
14. Email address

    This field is not part of the form submission.

15. Submit Submit and Print

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