Form Center

2. Mailing Address

   City of Salem
   P.O. Box 869
   114 N. Broad St.
   Salem, VA 24153

3. Street Address

   City of Salem
   City Hall
   114 N. Broad St.
   Salem, VA 24153

4. Phone Numbers

   General Information: 540-375-3000
   Police and Fire Emergency: 911
   Fire & EMT Non-Emergency: 540-375-3080
   Police Non-Emergency: 540-375-3010

6. Name*
8. Email*
9. Phone
11. Comments*
Leave This Blank:


13. 1. Receive an email copy of this form.
14. Email address

    This field is not part of the form submission.

15. Submit

* indicates a required field