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Charlotte Mecklenburg 311

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Citizen Information

It may be necessary to contact you for additional information. Please enter your name and a home or work number where you may be reached.

Fields marked with an asterisk(*) are required to ensure prompt processing.

*First Name:

*Last Name:

*Home Phone:

Work Phone:

E-Mail:

Your Address

(Example: 1507 W 4TH STREET EXT)

House Nbr:

(1507)

Apt:

Str Direction:

(W = West)

Street Name:

(4TH)

Street Type:

(Street)

Street Suffix:

(Ext = Extension)

City:

State:

ZIP:

Location of Problem/Service

If the request requires action or service at a specific location, you must enter the correct street address. If the service location is the same as the address entered above, check the box "Use Same Address As Above".

If you only know the street, please add a comment to pinpoint the block of the street, such as an intersecting street or landmark. If at an intersection, please enter the intersecting street in the comment field.

Use Same Address As Above