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2. This form is used to forward questions or comments to a City of Whitewater board, committee or commission. Your submission will be forwarded to the chair of the board, committee or commission and the staff representative.
4. Date and Time of Submission*
   Date and Time of Submission

   Date and Time of Submission
6. First Name*
7. Last Name*
9. Phone Number*
10. Fax Number
12. Email Address
14. Select the Board, Committee or Commission you would like to contact:

    1. Community Development Authority
    2. Community Involvement & Cable TV Commission
    3. Disability Rights Commission
    4. Equal Opportunities Commission
    5. Ethics Committee
    6. Landmarks Commission
    7. Library Board
    8. Parks & Recreation Board
    9. Pedestrian & Bicycle Advisory Committee
    10. Plan & Architectural Review Commission
    11. Police & Fire Commission
    12. Whitewater University Technology Park Board
    13. Urban Forestry Committee
16. Give a brief overview of the issue you would like to discuss. Once submitted, this form goes directly to the appropriate board, committee or commission members and their staff support.
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit Submit and Print

* indicates a required field