Communication Form (on-line form)

Use this form to express a concern, to issue a complaint, or to send us a commendation. Please note that a contact name/address is necessary for us to respond.

[contact-form subject=”Town of Kearney Communication Form (on-line form)” to=”cindy.filmore@townofkearney.com; townofkearney@gmail.com”] [contact-field label=”Name” type=”name” required=”true” /] [contact-field label=”Email” type=”email” required=”true” /] [contact-field label=”Type of Communication” type=”select” required=”true” options=”Concern,Complaint,Communication” /] [contact-field label=”Comment” type=”textarea” required=”true” /] [/contact-form]