Purpose: This form is used to request a mailbox repair by Public Works. Note: Depending on the nature of your repair, a permanent fix may not be made until weather permits.
* Information is required.
Contact Information
Mailbox 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.
Notes:
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.
Information we receive may be considered public information which is subject to disclosure under current state law.
