Online Request Form

The City of Regina welcomes your comments, questions, and requests about City-related services and programs. Please read the privacy policy.

Enter information about your request

  1. Select a type of request from the drop down list
  2. Enter the description of the request in detail in the box provided
  3. Enter the address/location of the request (Not required for Comment/Inquiry) 
Type of Request:*
Description of Request:*
Would you like a reply? *
Yes
No
Address of Request:
First Name:
Last Name:
Address:
Email:*
Daytime Phone:*
Evening Phone:*
City:
Province/State:
Postal Code/ZIP:
Country:
Please Enter the Text in the Picture (no capital letters or spaces)*


All fields marked with an asterisk (*) are mandatory.