ADA Recognized Disability to Address Council Form

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If you are a person with an ADA recognized disability and would like to address the City Council at the next meeting, please fill out the form below.

Questions must be submitted online via this form or by phone at 337-527-4571 for City Clerk before 8:00 a.m. of the designated day of the public meeting.

* Denotes a required field

Please Do Not Complete The Following Field

ADA TO ADDRESS THE CITY COUNCIL

Please fill out the form below.

FIRST NAME*

LAST NAME*

PHONE*

Phone Area Code-Phone 3-Phone 4 ext Extension

EMAIL ADDRESS

QUESTION(S) \ AGENDA ITEM(S) YOU WISH TO ADDRESS*

WHAT DISTRICT ARE YOU IN?*

ADA Recognized Disability to Address Council Form

ADA Recognized Disability to Address Council Form

ADA TO ADDRESS THE CITY COUNCIL

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