Form Center Module

Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

▼Americans With Disabilities Act (ADA)

  1. ADA Public Feedback Comment Form

    Use this online form to provide feedback regarding Agawam's application of the Americans With Disabilities Act (ADA).

▼Citizen Requests

  1. Citizen Request Form

    Use this form to let our departments know about issues you might have.

▼Contact Us

  1. Contact Christopher Sparks, Parks and Recreation Director
  2. Contact Deputy Emergency Management Director
  3. Contact Health Agent
  4. Contact Nurse
  5. Contact Victoria Carestia
  1. Contact Department
  2. Contact Emergency Management Director
  3. Contact Melissa Blackak, Parks and Recreation Administrative Assistant
  4. Contact the Personnel Director
  5. Sign up for Sanitary Sewer Overflow Notifications - Via Email

    Please use the form below to be added to our mailing list for public notifications of Sanitary Sewer Overflows, according to 314 CMR... More…

▼Fire Department

  1. Agawam Smoke Detector Sign Up
  2. Dumpster Permit Application

    Use this form to apply for dumpster permits. This application is required for all dumpsters greater than 6 yards in volume.

  1. Agawam sUAS Pilots Log

▼Senior Center

  1. Feedback Form

    This form is to provide you an opportunity to provide feedback on any program, service, or Senior Center related topic. It will be... More…

  2. Meals Referral

    For professional use only - this form will allow you to make an agency referral to our home delivered meals program.

  3. Newsletter Mailing List Survey
  4. Update Member Information
  1. Meal Site Survey

    If you have attended lunch at the senior center during 2018 we hope you will take a brief moment to fill out this survey to help us... More…

  2. New "Membership" Form

    Please complete one form per person. Note: There is no membership requirement for the senior center. We collect the following... More…

  3. SHINE Appointment Request Form