Action Request

Service is Job #1 for the Town of Andover. Please help us better serve you by using this form to point out a problem, ask a question, state an opinion, or register a complaint. Your request will be forwarded to the appropriate Town office or department for prompt response. You may also contact a specific office or department directly using the Town Directory. Please restrict your requests to things that are within the Town’s jurisdiction and control.

Please call 911 for Police, Fire, or Medical Emergencies

Please fill out the fields below:

*	Your Name:
*	Your Address:
	Telephone Number:
	E-Mail Address:

* Required

What is the nature of your request:

Pointing out a problem
Asking a question
Stating an opinion
Registering a complaint

Please provide details below:

*

Subject:

Can we contact you if clarification or additional information is needed:

Yes
No

Do you want to be contacted with an answer, response, or follow-up:

Yes
No

If “Yes” how do you want to be contacted:

E-Mail
Telephone