Appointment Request

Appointment Request

To request an appointment, please complete and submit the form below.

Office Administrator, Nicole Lund, will respond with an appointment time once your request is received.

[{"type":"date","required":true,"label":"Date Field","name":"date-1747218803482","className":"col-md-6 col-lg-3"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","required":true,"label":"First Name","name":"First-Name","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"Last Name","name":"Last-Name","className":"col-md-6","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","subtype":"tel","required":true,"label":"Phone Number","name":"Phone-Number","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","subtype":"email","required":true,"label":"Email","name":"email","className":"col-md-6"},{"type":"text","subtype":"email","required":true,"label":"Email Confirmation","name":"email-confirmed","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"checkbox-group","required":true,"label":"Reason for Appointment","name":"Reason-for-Appointment","other":true,"className":"col-lg-4","values":[{"label":"911 Addressing","value":"option-1"},{"label":"Board Bill Services","value":""},{"label":"CCW Permit - New","value":""},{"label":"CCW Permit - Renewal / Update","value":""},{"label":"Fingerprints","value":""},{"label":"Notary Services","value":""},{"label":"Record Requests","value":""},{"label":"Sex Offender Registration - New","value":""},{"label":"Sex Offender Registration - Update","value":""},{"label":"Trailer Inspection","value":""}]},{"type":"checkbox-group","required":true,"label":"Preferred Days","name":"Preferred-Days","className":"col-lg-4","values":[{"label":"Monday","value":"Monday"},{"label":"Tuesday","value":"Tuesday"},{"label":"Wednesday","value":"Wednesday"},{"label":"Thursday","value":"Thursday"},{"label":"Friday","value":"Friday"}]},{"type":"checkbox-group","required":true,"label":"Preferred Times","name":"Preferred-Times","className":"col-lg-4","values":[{"label":"8:00 am","value":"8:00 am"},{"label":"8:30 am","value":"8:30 am"},{"label":"9:00 am","value":"9:00 am"},{"label":"9:30 am","value":"9:30 am"},{"label":"10:00 am","value":"10:00 am"},{"label":"10:30 am","value":"10:30 am"},{"label":"11:00 am","value":"11:00 am"},{"label":"1:00 pm","value":"1:00 pm"},{"label":"1:30 pm","value":"1:30 pm"},{"label":"2:00 pm","value":"2:00 pm"},{"label":"2:30 pm","value":"2:30 pm"},{"label":"3:00 pm","value":"3:00 pm"},{"label":"3:30 pm","value":"3:30 pm"}]},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"textarea","label":"Miscellaneous Information","name":"Miscellaneous-Information","subtype":"textarea","className":"d-block"}]