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El Paso County Administration

County Administration Support Center

Create a New Ticket

Contact Details

Ticket Details

County Administration Request Type
Report Type
Date
Street Address
State
Zip Code
Occurrance Date
Occurrence Time
Witness Information
Please provide name, phone number, and email address.
Requested Action
Describe any specific action you are requesting.
Signature
By signing below you certify that information is true and correct to the best of your knowledge.
Date of Signature
Location
Include any identifying information about the location you are reporting.
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