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Gas Well Complaint Form

  1. Location of the occurence

  2. Date and Time of occurence

  3. Please describe your concern in the space provided.

  4. Request Action*

    How would you like us to contact you?

  5. In case of emergency please call 911. If this is not an emergency but you still wish to alert the City of Cleburne please call 817-556-8883.

  6. Leave This Blank:

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