The City of Stamford has a new  Citizens Service Center online service request submission form 

 - All fields marked with an asterisk (*) are required and must be filled out.

 - Please be patient while the screen refreshes after you make a selection from the list

 


 

Submit a new Service Request

  • 1. Personal Info
  • 2. Where and What
  • 3. Details
  • 4. Confirm

Tell Us About Yourself





Need a second line?






Click here to configure your notification preferences

Choose how you wish to be notified about changes or updates to your service requests.

Please provide us with the following information regarding your request:

Where is the issue?

Enter the city & street. You may also use a map to mark the exact location.



Drag the pin to the map to mark the location of the issue. You may also enter a street address.

Pushpin

What type of issue? *

Enter any comments you may have regarding this issue:

Thank you

Your service request has been submitted. Below are the details. Please keep this information for your records. We will notify you when there are updates to the status of your request, based on your selected notification preferences.

Your Comments

What

Where

What would you like to do now?

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    Please read our Privacy Policy is you have questions or concerns on the information you submit.

     



        Last Modified: 1/25/2012 3:06:05 PM
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