COW Web Citizen PW Street and Traffic Requests

Please Enter Information About Yourself

Tell us about your Request

FOR OFFICIAL USE ONLY

Street / Traffic Maintenance Request Form

IMPORTANT NOTE !!!!!!!!!!!!PLEASE BE ADVISED THAT USING THIS REPORTING FORM SHOULD NOT BE USED TO REPORT EMERGENCIES!IF THIS REQUEST CONCERNS PUBLIC SAFETY, CALL 911 IMMEDIATELY TO REPORT THE PROBLEM!THIS FORM WILL BE READ BY CITY STAFF DURING REGULAR BUSINESS HOURS, M-F, 8 AM - 4:30 PM.
INSTRUCTIONSBetween the hours of 8 AM - 4:30 PM, please call 268-4013 for normal reporting of Street/Traffic Maintenance issues.A valid Phone Number & E-Mail address MUST be entered in order for this request to be processed.All Phone Numbers Should Be In The ###-#### or (###) ###-#### Format Please.
First Name*
Last Name*
Phone #*
Business
Addr #
Street
Apt/Suite
City
State
Zip Code
Email*
Home Phone #
Work Phone #
Problem*
Click the icon to the right to look up exact street information.NOTE: To filter street information, enter text in the first line, then click the filter button.
Addr #*
Street Name where Request is Desired*
Nearest Cross Street*
PLEASE DESCRIBE THE PROBELM IN DETAILINCLUDE ANY INFORMATION THAT WILL ASSIST CREWS IN LOCATING THE PROBLEM.PLEASE BE AWARE YOU MAY BE CONTACTED BY E-MAIL OR TELEPHONE FOR CLARIFICATION.
Problem Description*
Category*
Section*
Status*
Supervisor*
DO NOT CLICK SUBMIT MORE THAN ONCE !

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