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Citizen Request for Service

  1. The City of Republic Citizen Request for Service form will help us identify a concern or problem in your area. Should a problem require urgent attention, please call us immediately at 732-3140. For a police or fire emergency, dial 911.

    Thank you for your assistance!

  2. Contact Information

  3. Please indicate the nature of your problem by checking the appropriate box(es) below:

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  5. This field is not part of the form submission.