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County Employee Interaction

  1. To be contacted about an interaction, please select "As Myself" from the dropdown and we will ask for your name and a contact number. If you do not wish to provide contact information you can select "Anonymous" from the dropdown.

  2. Rate Your Interaction*

    Select how you felt your interaction was with the County employee

  3. Please provide a detailed description of your interaction with the County employee. List the employees name and/or department if you have that information

  4. Leave This Blank:

  5. This field is not part of the form submission.