Form Center

2. *Public Information Warning*

   All content on this form will be made available to the public.

4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Phone number
    (Optional)
16. Email Address
    (Optional)
20. Comment*
22. Public Input Form Disclaimer

     The information provided here is derived from the submitter.  All information on this form is provided in an effort of transparency. However, the City of Milton makes no representation or warranty of any kind, express or implied, regarding the accuracy, adequacy, validity, reliability, availability, or completeness of any information on this form.  Under no circumstances shall the City of Milton have any liability for any harm incurred as a result of the reliance on any information provided on this form.  Any content that is obscene, lewd, harassing or otherwise objectionable will not be made available to the public.  Your use and your reliance on any information on the form is solely at your risk.

Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field