2. Assessing Department Scheduling Form
   Residents may send information to assist in scheduling assessing appointments.
4. Rent or Own?
   -- Select One --OwnRent

   Do you own or rent the property? Please select in the drop down menu. If you rent, please contact the property owner and ask them if it is ok to do an interior inspection for assessing purposes.
5. Property ID number

   Please provide the property ID number as listed on your blue door tag/postcard/other letter or communication.

7. First Name
8. Last Name
10. Address1
12. Address2
14. City
15. State
16. Zip
18. Daytime phone number*
    Please provide the best phone number to reach you during daytime hours.
19. Email address*
21. Preferred Date and Time Choice #1 (8 am - 4 pm only)
    Please indicate your first choice of date and time for appointment. Assessing staff schedule appointments for 30 minutes. Once staff arrives, they will spend 5-10 minutes in your home.
23. Preferred Date and Time Choice #2 (8 am - 4 pm only)
25. Preferred Date and Time Choice #3 (8 am - 4 pm only)
27. Confirmation
    Staff will confirm your appointment date and time. Please indicate your preferred choice of confirmation (phone or email).
29. Appointment Confirmation Preference

    1. Phone

    1. Email
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field