Agenda Item Request form

Please Note: We cannot accept attached files through this form. If you need to submit other files with your request you should use the PDF form and attach all files with it and E-Mail everything at one time to Commission@emery.utah.gov or bring the request to the Commission Office.

Name of Requesting Party *

Date of Commission Meeting to be Added to *

Name of the Agenda Item to be listed in the Meeting Announcement *

Background or Explanation of Agenda Item *

Email

Your Email Address to be used to contact you if we require further information or questions arise.

Phone Number

If you prefer to receive a phone call instead of an email in case there is need for further questions about your request

Submit