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Public Works Maintenance Request (Non-emergency)
Leave This Blank:
If this issue presents an immediate life safety issue, please call 911.
Select a Public Works Issue:
*
Drainage
Graffiti
Hazard/Debris in Road
Landscape Maintenance
Pothole
Roadway Lighting (Street Light)
Sidewalk
Sign
Traffic Signal
Other
Provide a Brief Description
*
Address / Location of the Issue
Street Number:
Street Name:
*
Nearest Cross Street (if applicable):
Add a Photograph (optional):
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Your Information
Name:
Street Number:
Street Name:
City:
State:
Select a State
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Maine
Massachusetts
Maryland
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Montana
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New York
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Oregon
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Rhode Island
South Carolina
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Tennessee
Texas
Utah
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Washington D.C.
Zip Code:
Phone Number:
Email Address:
Preferred Contact Method:
Email
Phone
* indicates required fields.
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