Supervisor Feedback Open Sheet

Supervisor Feedback Open Sheet

This Is Wayne Kenniker

I am looking for your feedback on open issues in Dubuque County.

You we also be able to take pictures of the issue if that help.

Date Submitted*

Last Name*

First Name*

Phone Number

Email Address*

Home Address*

County*

Dubuque

Other

Department

Board of Supervisors

Board of Health

Road Maintenance

Finance/Budget

Mental Health

Other

Have you expressed this concern before?

Yes

No

Who did you express the concern to?

Open Issue Description

Other Comments

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