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2. Contact*
   -- Select One --License Commission, Law Department, John Pyers
4. This contact form is used to communicate with the City of Lowell License Commission, and will be routed internally as appropriate.
6. Your Contact Information
8. First Name
10. Last Name*
12. Business Name
14. Email*
16. Phone Number
18. Address
19. City
21. State
22. Zip Code
24. Please DO NOT USE THIS FORM to make a request for information, service, or support or to report a code violation. 

    Instead, please visit the City of Lowell's 311 Service Request portal to submit your request.

26. Questions & Comments*
28. Notes
30. Please be aware that any communication(s) made through this system by you or your agent(s), servant(s), or any other representative(s), whether authorized or unauthorized to the City of Lowell, Massachusetts, the Commonwealth of Massachusetts, the owner and/or operator of this web site, and/or any other web site operated by or pursuant to license or agreement by the City of Lowell, Massachusetts, its agencies, officers, employees, agents or representatives shall in no event be deemed to constitute notice for any purpose, whether legal, official, or other.
32. The submission of this form and/or assignment of a Tracking Number, indicates your acceptance of these terms and the City of Lowell's Terms of Use, and may subject your submission to disclosure.
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33. 1. Receive an email copy of this form.
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