Commissioners Court Public Participation Form

Henderson County Commissioners' Court

Instruction: Fill out all appropriate blanks. You must be addressing an item that is on today's Commissioners' Court agenda.

1

Court Date:

 *

Court Date:

2

Name:

 *

Name:

3

Organization:
(If you represent one)

Organization: (If you represent one)

4

Home Address:

 *

Home Address:

5

Home Phone:

 *

Home Phone:

6

Email Address:

 *

Email Address:

7

Employment:

Employment:

8

Which agenda item (or items) do you wish to address?

 *

Which agenda item (or items) do you wish to address?

9

Do you wish to address the Court: (please choose one)

 *

Do you wish to address the Court: (please choose one)

at the beginning of the Court Meeting

during the time that the items(s) you are addressing are called

10

In general are you for or against such agenda item(or items)? 

In general are you for or against such agenda item(or items)?

Instructions on how to attend the meeting will be sent to the email that you provided. You will be receiving that information from aewaskiw@henderson-county.com. 

Note: This Public Participation Form must be submitted prior to the time the Commissioners' Court is called into session. For each agenda item, an individual shall be allowed three (3) minutes to address the Court. 

 

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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