E-Gov Services Municipality of Bethel Park

WARNING! Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 412-833-2000 or 911.

Snow on Sidewalks

Click here to Login | Click here to Register

Purpose: Use this form to submit any issues with snow on sidewalks.

Note: It is not necessary to register to submit a Service Request. However if you do register then you will be able to track all the Service Requests submitted under your registration ID.

Submitting an email address with your Service Request will result in confirmation that the Request has been received and will allow you to receive status updates for your Request

* 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 - Invalid Address The address you entered does not match any in the system. You can select a valid address from the list, or if you are certain the address you entered is correct click the "Use the address I entered" button, to continue. The address you entered
Unit:
	Provide any additional information on problem location in the box below.

(Internal Use Only)

What Ward is the issue located in?
Ward Lookup" />

* Is the sidewalk in front of a business?

Yes

Other

If you selected other, please explain below

* Issue/Problem Location:
Write "Same" if same as above. If the location of the issue does not have an address please try to identify a nearby intersection and/or landmark so that we can investigate the correct area

(Internal Use Only)

How was the request submitted?

Telephone

Walkin

E-Mail/Web

(Internal Use Only)

What Ward is the issue located in?
Ward Lookup

Attach a Picture or File (max size: 30MB):

Add Another FIle

CAPTCHA

Check here to have email confirmation of this submission.

* Information is required.

Notes:

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

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