Administrative Hearing Officers Question Title * 1. Please fill in the information below. Name: City/Town: Email Address: * Phone Number: Question Title * 2. Which of the following most accurately reflects your level of interest in the administrative hearing officer program? Will implement and have identified qualified person to perform duties Will implement but need assistance identifying qualified person to perform duties Want to implement but need assistance identifying another city with which to partner Interested but have questions or concerns Not interested in adopting the administrative process at this time. Question Title * 3. If you plan to implement and have identified other cities with which you plan to enter into an interlocal agreement, please provide the names of the other city/cities below: Question Title * 4. Please feel free to share any comments, concerns or questions below: Done