Click here to return to the E-Government Services start page
 
Welcome to the City of Norfolk, NE, Citizen Request
Today is Thursday, April 27, 2017.
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 911.
Construction Site, sediment and mud complaint

Please complete the form below, to inform the Stormwater Specialist, if you've witnessed sediment or mud washed or being tracked onto the street or another property within the City of Norfolk.

Please provide as much information as possible to help us find and correct the problem.

We may use your daytime phone or E-mail address (if provided) to contact you if we need additional information. You may also contact us by mail or phone.

* Information is required.

Contact Information

* First Name:
* Last Name:
Business Name:
Email:
Daytime Phone: (

Location/Address of Problem:

* 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.

* Date you noticed the problem:
 
* Time you noticed the problem:
 
* Description of problem: (Please be as detailed as possible.)
 
Check here to have email confirmation of this submission.

* Information is required.

If you have any questions please call the Stormwater Specialist (402) 844-2066.

Notes:

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

Information we receive may be considered public information and be subject to Nebraska Public Records Law.

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

City Home | E-Gov Home | Citizen Request | City Events Calendar
Login | Register | Privacy Policy
Copyright ©2004-2017. Electronic Commerce Link, Inc. dba egovlink.