Purpose. This form is to submit a request for general street maintenance. Note: If your request falls under the jurisdiction of another agency, then the Village will forward your request to the appropriate agency for action. We will mark the request as "Resolved" when we have done so.
* Information is required.
Street Maintenance Location:
If the address is the same as above, please reenter the address here.
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.
Upon submitting a request, you will receive a tracking number which may be used to follow up with your request at a later date. If an email address is provided, you may choose to receive a copy of your request via email which includes this tracking number.