Comments & Suggestions Form


  
           Name:   

   Organization:

 E-mail Address:

Mailing Address:

           City:   

       Zip Code:

   Phone Number:        

     FAX Number:



Briefly explain your request for assistance (be specific): 
Subject of your commments or suggestions:

                                              

 

If you cannot use this form, send e-mail to: per.csvc@lacity.org


City of LA