In order for our staff to serve you better, please complete this electronic form and then press the send email button at the bottom of this page. The form will automatically be e-mailed to the Administration of Washington Township.

If you wish, you may instead download a PDF form (requires Adobe Reader, available for free) by clicking on the link at the bottom of the page, and either fill the form out online and print the form, or just print the form, and fill it out later.

Please mail the completed PDF form to Washington Township , 43 Schooley’s Mountain Road , Long Valley , NJ 07853 . You may also fax the completed PDF form to (908) 876-5138 or place the completed PDF form in any one of the survey boxes located at Town Hall, Police Headquarters, DPW offices or the Recreation Department. Thank you.

Your name (Optional):		e-mail address: (Optional)
Visit Date:
Employees Name: (If known)
DEPARTMENT(S) VISITED: (Please check all applicable)
	Clerk's Office/Administration		Finance
	Recreation		Building
	Health		Tax Assessor
	Court		Tax Collector
	Planning/Zoning Board		Dept of Public Works
	Police Department		Other (Specify Below)
	Other:
What was the purpose of your visit?

Did our staff member(s) introduce himself or herself?			Yes No
Was your request addressed promptly, courteously and professionally?			Yes No
Was your request handled in one visit?			Yes No
If your request was not satisfied in one visit, how many visits were needed?			1 2 3 4 5 6 7 8 9 10 10+
Level of satisfaction
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