City of Brent, Alabama USA
22 First Street, Brent, Alabama 35034
Phone (205) 926-4643 Fax (205) 926-6061
*DENOTES A REQUIRED FIELD
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1. Select the type of issues that you are reporting.
*Nature of Problem:
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2. Briefly describe your request in the space provided. Please be as specific as possible.
*Description of Problem:
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3. Enter the address or location as well as the nearest intersection of the issue that you are reporting in the space provided.
*Location:
*Name:
*Phone: