Fountain Valley Online Forms

2. Comments/Feedback

   We value your feedback and comments on City staff and customer service.

4. Name of Person/Business
6. First Name*
7. Last Name*
9. Business Name (if applicable)
11. Contact Info. (Telephone and/or Email)*
13. Summarize inquiries or service provided, including staff that provided the assistance.*
15. Feedback and follow-up needed?*

    1. Yes
    2. No
16. Fountain Valley Resident/Business?*

    1. Yes
    2. No
18. Questions? Please email: fvproud@fountainvalley.org or call: (714) 593-4410
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

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