Update Officials Data

Requestor Information

To expedite your request, please fill out your information below then enter the requested changes in the form.

Requester Name

Requestor Email Address

Requestor Comment

Existing Information

Job TitleHighway Commissioner

First NameWillard

Middle InitialLeroy

Last NameTidwell

Generational

Preferred Display NameLeroy Tidwell

Email Address

Main Phone

Address9980 Davis Branch Rd

CityBon Aqua

Zip37025

New Information

Set to Vacant

Delete

Job Title

First Name

Middle Initial

Last Name

Generational

Preferred Name

Email Address

Main Phone

Address

City

Zip

Update Photo?

Yes

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