Citizen Request Form

If this is an emergency, call 911. Please do not complete this form.

Thank-you for submitting a service request to the Town of Enfield. A member of the Town Staff will address your request as soon as possible during regularly scheduled work hours (M-F, excluding holidays).

Please be sure to include your email address and click the link 'Click here to configure your notification preferences' on the form below to receive status updates on the progress of your request.

If you are attaching a file to your request, click the Upload button before submitting the form.

You will be able to PRINT a summary of your request after submitting it.

Submit a new Service Request

• 1. Personal Info
• 2. Where and What
• 3. Details
• 4. Confirm

Tell Us About Yourself

Email Address

First Name*MILast Name*

Street Address*Need a second line?

City*State*Zip*
AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT
Phone + ExtWant to provide another?

Click here to configure your notification preferences

Choose how you wish to be notified about changes or updates to your service requests.

EmailPhoneAlternate PhoneMail

Please provide us with the following information regarding your request:

Where is the issue?

Enter the city & street. You may also use a map to mark the exact location.

CityStreet #Street*
Enfield

Cross street (if at an intersection)

Drag the pin to the map to mark the location of the issue. You may also enter a street address.

What type of issue? *

Select a type...

Enter any comments you may have regarding this issue:

Comment

Additional Info

We need some additional information based upon the request type you picked:

Files

For certain issues, it's helpful to provide photos or documents to help us understand the issue. If you have any such files, please add them here.

Thank you

Your service request has been submitted. Below are the details. Please keep this information for your records. We will notify you when there are updates to the status of your request, based on your selected notification preferences.

Your Comments

What

Where

What would you like to do now?

You will be able to PRINT a summary of your request after submitting it.

Please visit the Town Contact Page (http://www.enfield-ct.gov/content/47/686/3778.aspx) to connect with a specific Town Department if you require additional follow-up with your request.

With the exception of requests for streetlight repairs, if you do not receive a response from Town Staff via Q-Alert or e-mail, within 5 business days from when you submitted your service request, please contact Enfield Assistant Town Manager Dan Vindigni at AsstTownManager@enfield.org. If possible, please include your Service Request number.