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2. Street Light, Traffic Signal, and Pothole repair

   The City maintains the street lights, traffic signals, and repairs potholes.  If you find any in need of maintenance, submit the form below. 

4. Contact Information
6. First Name*
7. Last Name*
9. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Phone Number*
18. Email Address
20. Signal / Light Information
22. Complaint Applies to*

    1. Traffic Signal

    1. Street Light

    1. Pothole
24. Location Address or Cross Streets*
26. Pole Number*

    Please provide the 5 digit pole number located approximately 6 feet on the face of the pole. If there is no number, just write N/A. 

27. Describe the Issue*
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field