Your suggestions welcome

State Government Compliment - Complaint - Suggestion Form

This form is to help you give input to state officials so that state government can better serve you. We need to know what we are doing right and ways we can improve our service. I will try to forward your suggestions to the proper department and/or person.

Use the Send button at the bottom of the page to send this form via e-mail. You may also print and mail it to my address listed below. Thank you.

I am sending a

Compliment Complaint Suggestion

Name: 
E-Mail Address: 
Mailing Address: 
City/State/Zip: 
Phone: 
Age: 

Department, agency, board and/or state official that this compliment, complaint, or suggestion is in regards to::

Details:

Suggestions - way to improve:

Would you like someone to get back with you? YES NO

Please Check here if you would like to be placed on Delegate John Overington's Mailing List YES. No Thank you.


This form is provided by Delegate John Overington, 220 Hoffman Road, Martinsburg, WV 25404 (304) 274-1791 for the purpose of making state government more responsive, efficient, and productive through greater citizen involvement. We are interested in your constructive suggestions and input. Use an additional sheet of paper if necessary.

If you have trouble with this online form, you may print and mail it to me at my address listed below, or e-mail john@overington.com.

THANKS FOR SHARING YOUR VIEWS!

Delegate John Overington 491 Hoffman Rd, Martinsburg WV 25404 (304) 274-1791
Coding & images property of respective owners; site problems, e-mail John Overington
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