Pike County Website

This is the form we would like each employee, officer, official in whatever capacity to use to display your information on the web. It can all be changed later BEFORE it goes live, however please provide at least the basics for now. Thanks GIS/IT Committee.

First Name:

Type your First Name here.

This is a required question

Last Name:

Type your Last Name here.

This is a required question

What is the name of your department?

This is a required question

What is your title?

Department head, Deputy Dept head etc.

This is a required question

What is/are your primary job functions and responsibilities?

Clerk of court. Record Deeds. Custodial. etc.

This is a required question

Work Phone:

Format like so: 555-555-5555

This is a required question

FAX Number:

This is a required question

Email:

Present work email goes here. It will very likely change in the future.

This is a required question

What is your preferred official email moniker

Example: jones.dan@ smith.teresa@ custodian@ death.records@

This is a required question

Do you have forms that can or should filled out or downloaded online?

If yes please send forms to Sandy Schacht at

This is a required question

Do you have special needs for your particular niche on the Pike County Website? Please describe them below.

Do you need online forms? Do you have a special logo? etc. Let us know.

This is a required question