Willows, CA · Glenn County

No notary required

Inter-Agency Service Request Form

Organizations use this form to request a service and provide contact, facility, location, and service details to the City of Willows.

What this form is

The Inter-Agency Service Request Form lets an organization describe a service it needs and identify the contact person and facility or property involved. It asks for the submission date, organization and contact details, address or location, location details, and a description of the requested service. Pictures may be included if available.

Who needs it

An organization seeking a city service can use this form to provide its contact information and describe where help is needed.

How to submit it

Submit the form by email to [email protected], in person, or by mail to 201 N. Lassen St., Willows, CA 95988.

About notarization

This document is signed without a notary; it includes no notarized or sworn attachment, so the signer just completes the form.

How to submit this form

  1. 1

    Download the Form

    Download the Inter-Agency Service Request Form.

  2. 2

    Complete the Form

    Enter the submission date, organization and contact details, facility or property information, location details, and requested service description.

  3. 3

    Gather Attachments

    Include pictures if available.

  4. 4

    Submit to the City

    Email the form to [email protected], submit it in person, or mail it to 201 N. Lassen St., Willows, CA 95988.

Frequently asked questions

What is the Inter-Agency Service Request Form for?
Organizations use it to tell the City of Willows what service they need and provide contact, facility or property, location, and service details.
Who can use this service request form?
The form asks for an organization name and primary contact information, along with details about the facility or property and requested service.
Do I need a notary for the Inter-Agency Service Request Form?
No. This form has no notary block or sworn attachment; the signer just completes the form.
How do I submit the Inter-Agency Service Request Form?
Email it to [email protected], submit it in person, or mail it to 201 N. Lassen St., Willows, CA 95988.

Need something notarized?

This Inter-Agency Service Request Form doesn’t need a notary — but if you have another Willows form that does, a commissioned online notary can help.