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Fill out the following form to send an email to the Alabama Department of Homeland Security. Please note that certain fields are required before the email will be sent. Please note that the form may not submit correctly if using older web browsers. If you experience any problems, upgrade your browser to the latest version.


Salutation: (Required)

  

Your First Name: (Required)

 
Your Last Name: (Required)
  
 
Email Address: (Required)

 
Phone Number: (Required, including Area Code)
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Street Address:(Required) 

 
City: (Required) 

 
State: (Req) 

 
Zip Code: (Req) 

 
Email Concerning which Issue: (Required)

 

Your Comments: (Required)

 

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