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Pothole Location

3. 

5. Please complete the online form below to submit the pothole location
   You can report a pothole location using this online form. Please include your contact information, so that if additional details are needed you can be contacted.

   You can report a pothole location using this online form. Please include your contact information, so that if additional details are needed you can be contacted.

7. First Name*

8. Last Name*

10. Address1*

12. Address2

14. City*

15. State*

16. Zip*

18. Home Phone Number*

19. Cell Phone Number

21. Email Address*

23. Pothole Location*

    Please include the street name and a description of where the pothole is located.

25. Crews repair potholes in zones; therefore, your report will be added to the list of repairs and will be addressed when the crew is working in that zone of the city.

    Crews repair potholes in zones; therefore, your report will be added to the list of repairs and will be addressed when the crew is working in that zone of the city.

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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

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