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2. Use this form to send an email message to Alderperson Lajsic.

   If you are experiencing a life threatening emergency, call 911 to receive immediate attention. If you have an urgent or time sensitive matter that is not a life threatening emergency, please call the Police Communication Center non-emergency number, (414) 302-8000.

4. First Name*
5. Last Name*
7. Street address:*
9. Email:
10. Phone:
12. Please respond by:

    1. Email
    2. Phone
14. Subject:
16. Message:*
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18. 1. Receive an email copy of this form.
19. Email address

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