Copperhead Intake Form

Thank you for contacting us.  Most often we can’t answer your preliminary inquiry for help until we get a brief look at what you are facing.  To help us with that, plese fill out our single page CCS Intake Form and either email it or fax it back to us.  (Contact information is on the bottom of the form.) You can access our form in two versions below.

 

Roll Back Local Government