Online Request Form
ONLINE REQUEST FORM
CITY OF KIRBY CODE OF ORDINANCES
AGENDA
MINUTES
COMPLAINT PROCEDURES
REAL ESTATE WITHIN KIRBY
For your convenience, The City of Kirby has provided the following request form so you can submit suggestions, requests or concerns. We want to hear from you and make your interaction with the City as easy as possible. Just fill out the following form and click the Submit button. Your request will be processed as soon as possible, and the proper department/person notified.
Please provide the following information so we can respond to your request.
First Name
Last Name
Middle Initial
Subdivision
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
Cell Phone
E-mail
Type of Request:
Inquiry Complaint Request for Information Request for Records Under the Open Records Act Comment
Details:
Is this your first contact with the city on this issue?
Yes No
If you have already spoken to a City department regarding this issue, please enter the department and date of contact, and if possible, the employee's name.
Department Contacted Date Department was Contacted Employee Name Contacted
