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2. The Town of Palm Beach wants to hear from you. Please use the form below to let us know if you have a concern you'd like for us to look into or a compliment you'd like to give to one of our employees. Should a problem require urgent attention, please call us immediately. For a police or medical emergency, dial 911. Otherwise, call (561)-838-5454. Thank you for your assistance!
4. PLEASE NOTE: Florida has a very broad public records law. Most written communications to or from the Town of Palm Beach are public records. Under Florida law e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail. Instead, contact the Town department you are attempting to reach by phone.
6. Contact Information
8. First Name*
9. Last Name*
11. Address1*
13. Address2
15. City*
16. State
17. Zip*
19. Phone Number
20. Email Address*
22. Please indicate the nature of your communication by checking the appropriate box below:
24. 1. Abandoned Vehicles
    2. Coastal Protection
    3. Code Violation
    4. Compliment an Employee
    5. Damaged Curb
    6. Damaged Sidewalk
    7. Dogs Barking
    8. Fire Hydrant Issues
    9. Hazardous Parking
    10. Litter
    11. Loose Manhole Cover
    12. Mosquitoes

    1. Noise Nuisance
    2. Parking Tickets
    3. Pools and Fountains
    4. Potholes
    5. Street Lights
    6. Standing Water
    7. Storm Sewer Leaking/Blockage
    8. Traffic/Road Signs
    9. Traffic Signals
    10. Water Leaking on Roadway
    11. Weeds
    12. Other
26. Brief Description
28. Location of Concern (Provide street address if possible)
30. Upload a Photo
    To help us better understand the concern you are communicating, you have the option of uploading a photo.
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

* indicates a required field