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2. Remote Meeting Public Comment Request Form

   If you wish to make a public comment at any of our remote meetings, you must fill out this form.

4. Type of Meeting*

   Please select one.

   1. City Council Meeting
   2. Development Review Board
   3. Planning Commission
   4. Municipal Infrastructure Commission
   5. Finance Commission
   6. Housing Commission
   7. Safe, Healthy, Connected People Commission
   8. Winooski Memorial Library Committee
   9. Board of Civil Authority Meeting
   10. Small Business Loan Fund Committee
6. Date and Time of Meeting*
   Date and Time of Meeting

   Date and Time of Meeting
8. Type of Comment*

   1. general public comment at the start of the meeting
   2. public comment on specific agenda item(s)
10. Specific Agenda Item(s)*
    Please list the agenda item you would like to make a public comment on. If more than one, please list and separate by using a comma. For instance, Item V (title), Item VI (title). Write N/A if not-applicable.
12. Describe Your Comment*
13. Supporting Documents
    If you have documents to be included in the public record, please upload them here.
15. First and Last Name*
    You must identify yourself with your first and last name. This is how you will be identified to speak. Nicknames and abbreviations are not allowed.
17. Where do you live?*

    1. Winooski
    2. Other
18. Email Address*
    Write N/A if you plan to comment via phone.
19. Phone Number*
    List the phone number you will use to join the meeting. Your name will be made visible.
21. Please Select One:*

    1. I will be attending this meeting in person
    2. I will be attending this meeting via my computer or another device
    3. I will be attending this meeting via telephone
23. When attending the meeting, please use your first and last name upon entering to be correctly identified for public comment.
    Thank you! A member of staff will reach out to you to confirm your details.
Leave This Blank:


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

    This field is not part of the form submission.

27. Submit

* indicates a required field