Form Center

2. Please complete this online form and submit.
4. Subject*
6. Contact Information
8. Name:*
10. Address:*
12. City:
13. State:
14. Zip:
16. This form goes to the Mayor, all Councilmembers and certain City Staff. Due to the volume of emails submitted, a personal reply is not always possible.
18. How would you prefer to be contacted? Remember to fill in the corresponding contact information.

    1. Phone
    2. Email
    3. Letter
    4. No Reply Necessary
20. Email Address:
22. Phone Number:
24. Please Share Your Comment, Question or Concern*
26. Unless restricted by law, all correspondence to and from Roseville City government offices, including information submitted through electronic forms such as this one, may be public data subject to the Minnesota Data Practices Act and/or may be disclosed to third parties. Due to Minnesota Open Meetings Law, Councilmembers are not allowed to use the "reply-all" function if it includes other Councilmembers for their response back to the emailer.  Any response back to the sender will be just to that individual and will not include other Councilmembers.
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

* indicates a required field