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Town of Malabar, FL
2725 Malabar Road, Malabar, FL 32950-4427
ph:
(321) 727-7764
Service Request Form
Please select from the list below.
Checkboxes
Checkbox Description
Checkboxes
Checkbox Description
Road Maintenance Problems
Drainage Maintenance Problems
Code Violations
Overgrown Shrubbery in Right of Way
Please provide the following information:
Field Description
Field Data
Required Field
Name:
required
Email:
required
Address:
City:
State:
Zip:
Phone:
Problem Location:
Please describe in more detail the nature of the problem.
Do you prefer follow up by phone or email, or not at all?