Section 1 of 1 in this document
Street and Sidewalk Damage or Hazard Report
Type of damage:
*
Choose One
Pothole
Sidewalk Uplift
Broken Curb
Pavement Deterioration
Missing or damaged street/traffic sign
Traffic Signal
Other (please specify below)
Description of the damage:
*
Address of problem area and specific location: Example: 630 Garden St., right lane
*
Nearest cross street:
Please attach photo(s) of reported damage
Personal Information
Full Name
First Name
Last Name
Email
disregard this