Contact Us

2. Have a Question?
   Fill out the form below for general comments, compliments and questions.

   Fill out the form below for general comments, compliments and questions.

3. Have a Problem?
   REPORT A PROBLEM

   Use the REPORT A PROBLEM link above to report a problem or concern.

4. Need to Call or Visit?
   Staff Directory

   Use the staff directory link above for phone numbers and addresses

6. EMERGENCIES:
   In the event of an emergency or urgent matter, please do not use this form. Call 911 for emergencies.

   In the event of an emergency or urgent matter, please do not use this form. Call 911 for emergencies.

7. DEPT. OF PUBLIC WORKS:
   For all questions, comments or problems related to DPW (roads, potholes, tree, snow/ice, brush, leaves, garbage, bulk, recycling, etc.) please use the REPORT A PROBLEM link above.

   For all questions, comments or problems related to DPW (roads, potholes, tree, snow/ice, brush, leaves, garbage, bulk, recycling, etc.) please use the REPORT A PROBLEM link above.

9. First Name*

10. Last Name*

12. Email Address*

14. Street Address*

16. Neighborhood*

17. Zip Code

19. Phone Number

21. Subject*

23. Department*
    -- Select One --Animal ControlBingo & RafflesBoards and CommissionsBuilding and InspectionsCode EnforcementCommunity DevelopmentCrossroads at the Lincroft AnnexElection ServicesEmergency ManagementEngineeringFinanceFireFire PreventionFirst AidHealth DepartmentLandmarks CommissionLiquor LicenseMiddletown Municipal TVMiddletown Public LibraryParking PermitsRecreationPassport ServicesPlanningPolice - NON EMERGENCIES ONLY For emergencies call Police Desk 732-615-2100 or 911Public InformationSenior CenterSocial ServicesTax AsssesmentTax CollectionTownship AdministrationTownship ClerkTownship Committee (all)Township Committee - Anthony S. Perry, MayorTownship Committee - Anthony P. Fiore, Deputy MayorTownship Committee - Kevin M Settembrino, Township CommitteemanTownship Committee - Patricia Snell, Township CommitteewomanTownship Committee - Rick W. Hibell, Township CommitteemanVital StatisticsWebmasterPublic Works

    Select the department you wish to contact.

25. Reason For Contact*

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