E-Gov Services City Of Monroe

Pothole or Related Road Hazard

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The City of Monroe has an active street repair and resurfacing program which includes targeting specific areas for repair on an annual basis. In the interim, potholes and related road hazards are patched in order to extend the street surface life and minimize damage to vehicles. Please utilize this form to report potholes or related road hazards for repair.

* Information is required.

Contact Information

First Name:
Last Name:
Business Name:
Email:
Daytime Phone:	() –
Fax:	() –
Address:
City:
State:
ZIP:

Issue/Problem Location:

* Address:	- Or Other Not Listed -
Unit:

	Please provide any other necessary information, such as cross streets or address spans, to help us to identify the problem location.

* Size of pothole

Small (less than 12 inches across)

Medium (12-24 inches)

Large (over 24 inches)

Special Circumstances

Is creating traffic hazard

On major street

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* Information is required.

Notes:

If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.

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Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.