(
*
) represents a required value
Your Contact Information
Please provide complete Address or Phone Number or Email in order to submit the Feedback.
*
First Name:
*
Last Name:
Address:
City:
State:
Zip:
Zip is invalid
Phone Number:
Phone Number is invalid
Work Phone:
Ext
Work Phone is invalid
Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.
Email:
E-mail is invalid
Fax:
Fax is invalid
Questions/Comments
Enter your Questions or Comments below (Please be brief, but specific).
*
Subject:
*
Details:
Please carefully review the information you have entered before hitting the submit button. Please do not submit the same message more than once, doing so may delay processing.
Submit
{{feedbackSaveError}}
{{feedbackSaveSuccess}}
Click here
to print the copy of submitted feedback.
Notification Disclaimer
Information provided to the Office of Equal Opportunity is considered a public record. Please do not include Social Security Numbers or bank/credit card account numbers. Communications made through this electronic message system shall in no way be deemed to constitute legal notice to the Palm Beach County Office of Equal Opportunity, employees or representatives with respect to any existing or potential claim or cause of action.