E-Gov Services Community City

Pothole

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Purpose. Use this form to report a pothole.

* Information is required.

Contact Information

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

Location of Pothole:

Please select the closest street number/streetname of problem location from list or select "*not on list".
Note: if address is not on the list, it may not be within the city's jurisdiction.
Provide any additional information on problem location in the box below.

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

* Size of pothole

Small - less than 12" inches across

Medium - 12 - 24 inches

Large - over 24 inches

Huge - over 5 feet

Special Circumstances

Is creating traffic hazard

On major street

Type of road surface

Area of road affected (near curb, right lane, center of road, etc.)

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

Add Another FIle

Click the map where the issue is located. Drag the map point if it needs to be moved.

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.