Form Center

HPC Comments, Questions, & Requests Form

2. HPC COMMENTS, QUESTIONS AND/OR REQUEST FORM
   Please fill out the following form if you have any comments, questions, requests, or concerns towards a specific program or general function at the HPC.

   Please fill out the following form if you have any comments, questions, requests, or concerns towards a specific program or general function at the HPC.

6. HPC PROGRAMS

8. Which Program?*
   -- Select One --Residential Household Hazardous Waste ProgramSmall Business Waste ProgramDrop & Swap Reuse ProgramHome Collection ProgramEducation & Outreach ProgramHPC General Operations

10. Comments, Suggestions and/or Recommendations

12. Questions and/or Requests

14. Concerns

16. Would you like to be contacted?*

    1. Yes
    2. No

    If "Yes," please fill out the Contact Information below.

18. First Name

19. Last Name

21. Phone Number

22. Email Address

24. Preferred method of contact?

    1. Phone
    2. Email

28. Thank you for taking the time to complete this online form. Your submitted form will be reviewed shortly by HPC staff. You may be contacted if further information is necessary or you require a reply.

    Thank you for taking the time to complete this online form. Your submitted form will be reviewed shortly by HPC staff. You may be contacted if further information is necessary or you require a reply.

30. HPC staff are committed to providing high quality customer service to residents and businesses. Receiving feedback from our customers can improve our service to you. We appreciate your time. Thank you. NOTE: After clicking "Submit," you will be taken back to the HPC's Home Page.

    HPC staff are committed to providing high quality customer service to residents and businesses. Receiving feedback from our customers can improve our service to you. We appreciate your time. Thank you. NOTE: After clicking "Submit," you will be taken back to the HPC's Home Page.

Leave This Blank:


32. Submit

* indicates a required field