Update Officials Data

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Requestor Information

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

Requestor Name

Requestor Email Address

Existing Information For Mike Collinsworth

Name

TitleMr.

First NameMike

Middle Name

Last NameCollinsworth

Generational

Nickname

Preferred Name for Web DisplayMike Collinsworth

Job 1 TitleMIS Director

Job 1 CityLebanon

Job 2 Title

Job 2 City

Job 3 Title

Job 3 City

Job 4 Title

Job 4 City

Email Addressmike.collinsworth@lebanontn.org

Linkedin:

Phone(615) 444-6300

Phone Extension

Fax

Use City Address? Yes

Non-City Hall Address

Non-City Hall Address City

Non-City Hall Address StateTN

Non-City Hall Address Zip

New Information For Mike Collinsworth

This is a new municipal official.

This position should be marked as vacant.

This official should be deleted from the website.

Name

Title

First Name

Middle Name

Last Name

Generational

Nickname:

Preferred Name for Web Display:

Job 1 Title:

Job 1 City:

Job 2 Title:

Job 2 City:

Job 3 Title:

Job 3 City:

Job 4 Title:

Job 4 City:

Email Address:

Linkedin:

Phone:

Phone Extension:

Fax:

Use City Address?:

Yes

Non-City Hall Address:

If no, please provide a non-city hall address.

Non-City Hall Address City:

Non-City Hall Address State:

Non-City Hall Address Zip:

Requestor Comment

Municipal Technical Advisory Service (MTAS)