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  1. To report a pothole, please be as specific as possible including the nearest street address or perhaps telephone pole identification.
  2. If you would like an acknowledgment, please provide your name.

  3. Please provide contact information to reach you if there are any questions regarding your submission.

  4. Where is the pothole? Please be as precise as possible.

  5. What is the nearest cross street to the location that you are reporting?

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  7. This field is not part of the form submission.