City of Rancho Palos Verdes

2. Contact City Departments
   Use this form to electronically communicate with the City for just about anything! An email will automatically be sent to the appropriate person to handle your request. For emergency service please contact the appropriate public service agency.
4. Public Works Service Request
   Public Works Service Request

   Please click on the link to submit a Public Works Service Request
6. Please select the Department you would like to contact*
   -- Select One --Building & SafetyCity ClerkCity ManagerFinanceInformation TechnologyParks & RecreationPlanningPublic Works

   NOTE: PLEASE DO NOT USE THIS FORM FOR PUBLIC WORKS SERVICE REQUESTS. CLICK ON THE "PUBLIC WORKS SERVICE REQUEST" LINK ABOVE INSTEAD.
8. First Name*
9. Last Name*
11. Street Number*
12. Street Name*
13. Street Type
14. Apartment Number
16. City*
17. State*
18. ZIP*
20. Home Phone
21. Office or Other Phone
23. Email*
24. Best place to reach you should questions arise:
    -- Select One --HomeOffice / Other
26. Should we inform you of the action taken?*
    -- Select One --No, do not contact me.Yes, contact me through email.
28. Message, Inquiry or Comment
    Provide us with information regarding your request, inquiry or comment. Please be as specific as possible.
30. Location or Address of Inquiry or Comment
32. Description*
    Please describe your service request inquiry or comment.
34. Upload Supporting Document
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field