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Welcome to the City of Imperial's online Citizen Contact Form. Here you can conveniently submit a variety of requests to the City. Please fill out the form below to submit your request.

Step 1. Select a Contact:

* Select a Category:
* Select a Contact:
* Request Type:

Step 2. Provide Information

* Briefly describe your request in the space provided. [Please be as specific as possible].
 
* Enter the address or location as well as the nearest intersection of the problem that you are reporting in the space provided.
Step 3. Provide Your Contact Information
Please Note: Service Requests will not be processed with an invalid email address. We do not accept anonymous requests.
*Name:
*E-Mail:
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Mobile:
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