City of Selma, TX
9375 Corporate Dr., Selma, TX 78154-1250

 City of Selma, TX
Dear citizens: If you are providing us with your phone number, please be sure to include your area code so the format would be 210-555-5555 or this form will not submit correctly. Thank you for your understanding.
Your Information
First/MI.:
*
Last Name:
*
Address:
*
Address 2:
City:
*
State:
*
Phone:
Alt. Phone:
Email:
Request Details
City:
Street #:
Street:
*
Cross St:
Request Type:
 *
Comments:
 I would like to be notified by email of updates to this request
 I would like to be notified by mail of updates to this request
 I would like to be notified by phone of updates to this request