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Become a Verified Community Leader on Patch
This form is for government officials, employees of public agencies and representatives of publicly focused community organizations who represent constituencies in a Patch community.
Email *
Name *
Which government agency or publicly focused organization employs you? *
Which state do you work in? *
Which Patch town do you serve? *
Do you currently have an account on Patch? *
Please provide a phone number *
Patch will only call to confirm your identity.
Who will be the primary user of this account? *
Please list your areas of expertise *
Check all that apply
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How did you hear about us?
Any questions for us?
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