City Officials Update Revision Form - Kentucky

City Officials Update Revision Form

Instructions

Department for Local Government Cities and Special Districts Branch 1024 Capital Center Drive, Suite 340 Frankfort, KY 40601 (502)-573-2382

Please note that this form allows cities to send updated city information to DLG if any changes occur midyear. The City Officials Update Form should still be completed annually.

1. Fill in the form. Complete the applicable fields. Note: the Official Name of the City is required.

2. Email the form to:

dlg-csd@

3. Receive a confirmation email. When the form is received and reviewed, you will receive a confirmation email acknowledging receipt of the form and your request for your city official information change for the following fiscal year.

Date: __2_/_25_/_2_0_1_9_____ Fiscal Year: _2_0_1_9____ Official City Name (required): City of Worthington Hills

Old City Information: Business Hours: Address: ___________________________________

________________ ______ _________

City

State Zip Code

Old Telephone:

Old Fax Number:

**Old Email: city.worthingtonhills@

Position:

#1 Old Contact Information: City Commission

Name: Dawn Eichenberger

Address: ___________________________________

New City Information:

Business Hours: Address: ___________________________________

________________ ______ _________

City

State Zip Code

New Telephone:

_

New Fax Number:

**New Email: info@

Position:

#1 New Contact Information: City Commission

Name:

Dawn Eichenberger

Address: ___________________________________

________________ ______ _________

City

State Zip Code

Old Contact Phone: (502) 243-8415

propertycommish@ Old Contact Email:

________________ ______ _________

City

State Zip Code

New Contact Phone: (502) 243-8415

propertycommish@

New Contact Email:

#2 Old Contact Information: Position: City Commission Name: Dennis Metcalf Address: ___________________________________

________________ ______ _________

City

State Zip Code

Old Contact Phone: (502) 243-8415

safetycommish@

Old Contact Email:

#2 New Contact Information: Position: City Commission Name: Dennis Metcalf Address: ___________________________________

________________ ______ _________

City

State Zip Code

New Contact Phone: (502) 243-8415

safetycommish@

New Contact Email:

#3 Old Contact Information: Position: City Commission Name: Linda Beville Address: ___________________________________

#3 New Contact Information: Position: City Commission Name: Linda Beville Address: ___________________________________

________________ ______ _________

City

State Zip Code

Old Contact Phone: (502) 243-8415

utilitycommish@ Old Contact Email:

________________ ______ _________

City

State Zip Code

Old Contact Phone: (502) 243-8415 utilitycommish@

Old Contact Email:

#4 Old Contact Information: Position: Mayor Name: Robert A. Stonum Address: ___________________________________

________________ ______ _________

City

State Zip Code

Old Contact Phone: (502) 243-8415 mayor@

Old Contact Email:

#4 New Contact Information:

Position: Mayor

Name:

Robert A. Stonum

Address: ___________________________________

________________ ______ _________

City

State Zip Code

New Contact Phone: (502) 243-8415 mayor@

New Contact Email:

#5 Old Contact Information: Position: Name: Address: ___________________________________

________________ ______ _________

City

State Zip Code

Old Contact Phone:

Old Contact Email:

#5 New Contact Information: Position: Name: Address: ___________________________________

________________ ______ _________

City

State Zip Code

New Contact Phone:

New Contact Email:

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