Editing previous response:

Please fix the highlighted areas below before submitting.

Policy Comment Form

Please complete the form below. Required fields marked with an asterisk *

Select the Policy you are providing comment for:*

Answer Required

209.1 Head Lice

Add your comment(s) and/or suggestions to the space below.*

Answer Required

Contact Information (Community residents or employees)

First Name*

Answer Required

Last Name*

Answer Required

Email*

Answer Required

Phone

Number Required

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Confirmation Email

Email Required