Resignation Submission Form

If you are no longer able to serve as a member on a board/commission of the Town of Simsbury, please complete and submit the form below. By clicking submit, you are confirming your resignation from the board/commission stated and you attest that you are the person stated below that is submitting this resignation notice to the Town of Simsbury. The Town Clerk will email you a confirmation receipt of your resignation.
 

Please enter your first and last name.
Please enter in your house number, street, town and zip code.
Please enter phone number with area code.
Please enter 'Regular,' 'Alternate' or 'Temporary.'
Please enter the name of the Board/Commission that you were a member of.
Please use the following format: MM/DD/YYYY
Please enter the reason for your resignation. For ex. moving out of Town.