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2. The Town of Cedaredge is committed to providing the best service possible with the resources we have available. Please take the time to fill out this form so that we can continue to improve our facilities, programs, and incident response.

   
   
4. DISCLAIMER!
6. This form is to be used for reporting incidents where private property was damaged by an employee, or a piece of equipment operated by an employee of the Town of Cedaredge. For all other occurrences please contact the appropriate agencies.
8. Name:
   *
10. Address:
    *
12. Telephone No:
    *
14. Date of Incident:
    *
16. Description of incident (describe in detail what happened, the area that was damaged, how the problem was resolved, etc.)

    *
18. For a prompt response please submit your email address:
    
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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

* indicates a required field