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.
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First Name:
Type your First Name here.
Last Name:
Type your Last Name here.
What is the name of your department?
What is your title?
Department head, Deputy Dept head etc.
What is/are your primary job functions and responsibilities?
Clerk of court. Record Deeds. Custodial. etc.
Work Phone:
Format like so: 555-555-5555
FAX Number:
Email:
Present work email goes here.  It will very likely change in the future.
What is your preferred official email moniker
Example:  jones.dan@  smith.teresa@  custodian@ death.records@
Do you have forms that can or should filled out or downloaded online?
If yes please send forms to Sandy Schacht at
Clear selection
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.
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