Board Appearance Request

This form shall be used for requesting appearances before the Orange County Board of County Commissioners. Note: Appearances are limited to three (3) minutes.

If you are requesting to speak in less than 24 hours, please do not submit your request online; instead, please bring paper version to the meeting along with any corresponding attachments.

Today's Date *	Requested Board Date
Speaker Name *	Phone * (Example: 407-123-9876)
Address *	Email
City, State, Zip *
Request Submitter *
Previous Contact with Orange County Staff Regarding This Matter (Name/Department)
Subject (1000 characters max)
Attachments (Limit: 5 MB total.)

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