• *Location of Problem:
• Which corner/lane:
• Nearest major street intersection:
• 
  

• *Report/Request One of the Following:

• Pothole
  Remove Debris in Street (describe debris):
  
• 
  

• General Repair/Maintenance

  Clogged Storm Drain Inlet
  Storm Flooded Street
  Storm Flooded Yard
  Sweep Street
  Grade Dirt Alley
  Weeds in the Right-of-Way
  Cannot Reach Signal Push Button
  Spills in Street (describe what was spilled):
  Illegal Dumping in Storm Drain
  Other (describe):

• ADA Related (Click on links below to get a better understanding of what we are referring to)

  Pavement Roll Up
  Sidewalk Repair
  Broken Curb
  Wheelchair Ramp Repair
  Wheelchair Ramp
  
• 
  
• Comments or Additional Information:
• 
  
• Problems also can be reported to Street Maintenance Division staff during normal business hours at (602) 262-6441. In the event we need to follow-up with you, please fill in as much of the following information as possible.
• *Your Last Name:
• *Your First Name:
• Address:
• *Daytime Phone:
  (Use 10-digit phone number)
• E-Mail Address:
• 
  

Before you submit this e-mail form, we would like you to be aware of the City's policy on the use of its e-mail systems. The policy states that the e-mail message you are about to send: (1) is subject to public disclosure under the Public Records Law, (2) is not private or confidential and (3) is retained for one month.