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2. Town of Webster Highway Department

   Request Form

   Complete the form below to request assistance from Town staff. Your information will be reviewed and followed up by the appropriate staff members. Please allow up to 48 business hours for a response.

   If this is an urgent request, please contact our After-Hours number: 585-872-1443.

4. Name
6. Address
8. Phone
10. Email
12. Request assistance

    Briefly describe the concern for which you are requesting assistance.

Leave This Blank:


14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

* indicates a required field