Please complete the form below. Mark the box which best describes the problem and give a brief description of the problem and where it is located.

Please fill in your name, address, and a daytime phone number so that we may keep you informed of the process. We will forward your request to the appropriate department and you will receive a response to your request as prompt as possible.

If this is an emergency please contact 911 and do not place a service request through the website.

About the Problem

Please indicate the problem(s) by checking the appropriate box:*

Pothole Damaged Curb / Sidewalk Traffic Signals Traffic / Road Signs Street Lights Abandoned Vehicles Unlicensed Vehicles Street Debris Loose / Protruding Manhole Cover Storm Sewer Leaking / Blockage Water Leaking Drainage Problem Overhanging Trees / Shrubs on Public Property

Trees in Electrical Lines Weeds / Tall Grass Noise Nuisance Dogs Barking Other Blight Customer Service Issue Animals at Large Litter / Illegal Dumping Trash Collection Issues Parks / Playgrounds Problem Other Construction Work On Public Right-Of-Way Issues

Brief Description / Additional Information:*

Location of the Problem:*

Contact Information

Name:*

Address:*

Daytime Phone Number:*

Email Address: