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2. Date of Visit*
   Date of Visit
3. Department(s) Visited*
   -- Select One --DMVPersonal PropertyReal EstateBusiness LicenseBusiness EquipmentConsumer Tax (Meals, Transient, Cigarette Tax))
5. Rate Your Experience

   Please check one from each category below that corresponds to your experience with the office and staff.

7. Professionalism*

   1. 1 - Very Poor
   2. 2 - Poor
   3. 3 - Satisfactory
   4. 4 - Good
   5. 5 - Excellent
8. Efficiency & Timeliness*

   1. 1 - Very Poor
   2. 2 - Poor
   3. 3 - Satisfactory
   4. 4 - Good
   5. 5 - Excellent
9. Employee Knowledge*

   1. 1 - Very Poor
   2. 2 - Poor
   3. 3 - Satisfactory
   4. 4 - Good
   5. 5 - Excellent
10. Overall Experience*

    1. 1 - Very Poor
    2. 2 - Poor
    3. 3 - Satisfactory
    4. 4 - Good
    5. 5 - Excellent
12. Comments

    If you would like to leave a comment about your experience, please use the space provided above.

14. Upload File

    Attach any documents, pictures, etc.

16. Optional Personal/Business Information
18. Name
19. Business Name (If Applicable)
21. Address
23. City
24. State
25. Zip Code
27. Phone Number
28. Email Address
30. Commissioner Response

    1. Receive Response by Phone
    2. Receive Response by Email

    Please check the appropriate box if you would like a response directly from the Commissioner of the Revenue.

Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field