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Report a Streets & Grounds Issue

2. Use this form to report an issue. Please provide as much information as possible including location details. Please provide your name, telephone number, and e-mail address.

4. Please use one form per request!

6. Contact Information

8. First Name*

9. Last Name*

11. Street Address:

13. Phone Number

14. Email Address

16. Do you wish to be contacted about this issue?*

    1. Yes
    2. No

17. Preferred method of contact:

    1. Email
    2. Phone

19. Type of Issue*

    1. Bike Lane
    2. Bike FixIt Station
    3. Dead Animal
    4. Drainage
    5. Greenway

    1. Park
    2. Pothole
    3. Sidewalk
    4. Street Sign
    5. Tree

    Please check appropriate box.

21. Description of Issue

23. Exact Location of Issue

25. Street Name, Address, and/or GPS Coordinates*

27. Nearest Two Cross Streets

29. Upload Photo

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit Submit and Print

* indicates a required field