HOME > DEPARTMENTS > PUBLIC WORKS DEPARTMENT

Work Order Request

---

See a pothole? Trash? Any problem you think the Department of Public Works should be fixing? Let us know by using the form below. You will be contacted by phone or email if additional information is required. Thank you!

NAME:
ADDRESS:
TELEPHONE:
EMAIL:
PLEASE CHECK ALL THAT APPLY:	Camp Ellis Pier Catch Basin Culvert Dead Animal Drainage Lawn Traffic Signal Pothole Sand/Salt Schools	Sewer Shoulder Sidewalk Signs Snow/Ice Street Sweep Trash/Litter Tree Street Light Other (explain below)
PROBLEM:
	To submit this form, please enter the characters you see in the image: