E-Gov Services City of Sturgis

Pothole

Purpose. Use this form to report a pothole.Please include your email and phone number so that we may contact you. It may take up to 5 business days to receive a response as the person receiving this request may be out of the office.

* Information is required.

Contact Information

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

* Location of pothole (be as specific as possible).

* Size of pothole

Small (less than 12 inches across)

Medium (12-24 inches)

Large (over 24 inches)

Special Circumstances

Is creating traffic hazard

On major street

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.