Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Submit a Concern

  1. The City of Havelock Submit a Concern Form will help us identify a problem in your area -- and fix it fast.

    Thank you for your assistance!

  2. Contact Information
  3. Please indicate the nature of your problem by checking the appropriate box(es) below:
  4. Leave This Blank:

  5. This field is not part of the form submission.