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Diversity Issue Form

Please correct the field(s) marked in red below:

This is an anonymous opportunity to inform the Diversity Council about issues in the community.  Filling out this form does not constitute filing a claim.  This form helps the Diversity Council tailor training and relay information in an annual report to the City Council.

1
What was your incident?
(Please select all that apply)
What was your incident? (Please select all that apply)
2
Please specify anything you may have to add about the incident:
3
Nature of issue:
(Please select all categories that apply)
Nature of issue: (Please select all categories that apply)
4

Please specify anything you would like to add about the nature of the issue:

5
What do you believe is the solution?

If you have a claim, please follow the formal reporting process or call the City Clerk at (509) 888-6204 for assistance. 

  1. To receive a copy of your submission, please fill out your email address below and submit.
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