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2. Help us to help you by using this request for service form. Complete the form, submit it, and we will do the rest.

   Thank you for your assistance!
4. First Name*
5. Last Name*
7. Reply Email *
9. Please indicate the nature of your request.

   1. Abandoned Vehicle
   2. Animal Complaint
   3. Area Traffic Concern
   4. Blocked Drainage
   5. Chemical Discharge
   6. City Park Maintenance
   7. Damaged Curbs
   8. Damaged Sidewalk
   9. Hazardous Parking
   10. Loose/Protuding Manhole Cover
   11. Overgrown Property
   12. Overhanging Trees / Shrubs
   13. Pothole
   14. Road Flooding
   15. Road Grading
   16. Road Striping
   17. Road / Traffic Sign
   18. Street Light Request
   19. Street Sign / Stop Sign
   20. Storm Sewer leaking / blocked
11. If none of the categories listed apply, explain your request in the area provided and we will make every effort to address the situation in a timely manner.
13. Please indicate the address, or if you don't know the address, other information that will help us to determine the correction location.*
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15. 1. Receive an email copy of this form.
16. Email address

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17. Submit Submit and Print

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