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2. Please enter the following information so we may more effectively respond to your request:

   Please enter the following information so we may more effectively respond to your request:

4. First Name*

5. Last Name*

7. Address1

9. Address2

11. City

12. State

13. Zip

15. If your request requires a response from West Valley City, please provide both a phone number and email address for a quicker response.

    If your request requires a response from West Valley City, please provide both a phone number and email address for a quicker response.

17. Phone Number

18. Email Address*

20. Comments/Questions*

22. So we may better serve you, please indicate the department, office or service related to your request*
    -- Select One --AdministrationAnimal ServicesBuilding InspectionsBusiness LicensingCode EnforcementCommunity & Economic DevelopmentCommunity PreservationCity CouncilCourtsCultural Celebration CenterFamily Fitness CenterFinanceFireGarbage & RecyclingGrants & HousingLegalNeighborhood ServicesParks & RecreationPlanning & ZoningPolicePublic RelationsPublic WorksStreet MaintenanceVictim ServicesUtility BillingNot Sure / Other

24. Please note, this form will be submitted to West Valley City via email and you will receive a response as soon as possible. If your request requires immediate assistance, please call West Valley City Offices at 801-966-3600 during regular office hours. West Valley City offices are open Monday through Thursday, 7:00 a.m. to 6:00 p.m. and are closed most holidays.

    Please note, this form will be submitted to West Valley City via email and you will receive a response as soon as possible. If your request requires immediate assistance, please call West Valley City Offices at 801-966-3600 during regular office hours. West Valley City offices are open Monday through Thursday, 7:00 a.m. to 6:00 p.m. and are closed most holidays.

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26. 1. Receive an email copy of this form.
27. Email address

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