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Citizen Request for Services Form
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Use this form to request or report the following: repair of street or potholes, reporting of hazardous sidewalk condition, street or gutter drainage problems, bike paths and catch basin stoppages, street sign issues, traffic signal outage, streetlight outage (provide streetlight pole number). Your name, telephone number, and e-mail address are not required, but are helpful should questions arise.
Reported location must be within the City of CivicPlus Boundaries. The exact reported location/site address is required
Please use one form per request!
Exact Location of Job Requested
Street Name, Address or Block Number
Nearest Two Cross Streets
Nature of Request
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