Citizen Request Form

Citizens may request services for the categories below. So that we may better serve you, please make sure to provide the required information. A detailed description of the issue and its location must be provided using crossroads or landmarks. Photo documentation can be submitted as well.

This form is for NON-EMERGENCY requests only. For immediate response in emergency situations please call 911.

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Please tell us about yourself: (* denotes required fields)

Name *
Street Address
Phone *	Email *

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Please select the services you are looking for: (Select all that apply.) *

*Please select at least one service.

Graffiti	Illegal Dumping
Code Violations	Building/Working Without a Permit
Tree Trimming/Dead Trees	Parks
Playgrounds	Bulky Waste/Large Trash Items
Potholes	Guiderail Damage
Traffic Signal Malfunction	Street Light Repairs/Outages
Stop Sign	Other Types of Signs
Other Public Works issue	Other Building / Property Maintenance Issue
Other Parks Issue	Other Issues Not Listed Above

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Please Attach Image: (optional)

File must be in one of the following formats: .gif,.png,.jpg,.jpeg

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Details about the issue:

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