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Welcome to the City of Norwalk, OH, Action Line
Today is Wednesday, June 28, 2017.
Sewage in Basement

Purpose. This form is used to communicate with city personnel if your basement has sewage back-up and you believe the City systems may be involved.

* Information is required.

Contact Information

* First Name:
* Last Name:
* Address:

* Address of Back-up
 
* Date Back-up Occurred
 
Please explain the circumstances under which this occurred (ie - during rainstorm).
 
Additional information or comments.
 
* Please provide a phone number or email address where you can be reached.
 

* 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.

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