Form Center

2. First Name*
3. Last Name*
5. Home Address*
6. Email Address*
8. Are you a:*

   1. Homeowner
   2. Renter
   3. Other
9. Are you interested in annexation (becoming part of La Verne instead of LA County)?*

   1. Yes
   2. No
   3. Maybe
11. Would you be interested in attending a community meeting about annexation?*

    1. Yes
    2. No
    3. Maybe
12. What topics would you like to learn more about? (Select all that apply)*

    1. How annexation affects taxes
    2. City services comparison
    3. Timeline and steps in the process
    4. Zoning and land use
    5. The role of LAFCO
    6. Your rights to protest or opt out
    7. Other
14. Which of the following potential benefits of annexation are important to you? (Select all that apply)*

    1. Improved Emergency Services
    2. Local Government Representation
    3. Faster Municipal Services
    4. Unified Utility Billing
    5. Other
15. If you marked other for the previous question, please specify below.
17. Were you aware you were part of an unincorporated area of LA County?*

    1. Yes
    2. No
18. What concerns, if any, do you have about annexation?
20. Would you like to receive email updates about the annexation process?*

    1. Yes
    2. No
21. How likely are you to support annexation into the City of La Verne?*

    1. Strongly Support
    2. Somewhat Support
    3. Neutral/Undecided
    4. Somewhat Oppose
    5. Strongly Oppose
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field