TwpofWashington.us - Resident Service Request Form

The Twp. of Washington's on-line service request form allows residents and visitors to request service, submit complaints & compliments, or make comments regarding the Twp. of Washington. You must submit your name, address, phone and an e-mail address so we can provide a response to your concerns.

Please note the Township will work promptly to address or respond to each issue. Emergent issues will be given priority. In general, a person filling out this form should expect a response within 5 to 10 working days except as may be required by law, and certain issues may take a longer period of time to address. This electronic form is for NON-EMERGENCY problems, complaints, comments or concerns only. If immediate emergency services are needed, please dial 911.

Name:*

Address:*

Description of your issue / concern:*

E-mail Address *

Phone #*

What is the best way to contact you?

Category (Please select most applicable)