Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
  1. The Perry Township Report a Concern Form will help us identify a problem in your area. Should a problem require urgent attention, please call us immediately at 889-2669. For a police emergency, dial 911.

    Thank you for your assistance!
  2. Contact Information

    Fields may be left blank for anonymous submission. Contact information provided is confidential and only used to further investigate reported concerns.

  3. Please indicate the nature of your problem by checking the appropriate box(es) below:
  4. Leave This Blank:

  5. This field is not part of the form submission.