Help Request Form

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Help Request Form

Thank you for letting the City of Snyder know what is needed to help with the City Wide Clean up Campaign. Please fill out all questions to the best of your ability.

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Today's Date *

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Your Name

Your answer

Your phone number

Your answer

Give a short description of your help request or problem

Your answer

Address of where help is needed (or general location)

Your answer

How long has this been an issue?

Your answer

Name of person/ family at that address.

(if available)

Your answer

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