Citizen Complaint Form


The City does require you to provide your Name, Phone number and email address to follow up on these compliants.

Your Name
Physical Address
Mailing Address
City, St Zip
Email Address
Please enter your daytime phone number if we need more information

Date and Time

Please enter the date and time that the problem was noticed in the space below.

Date:
Time:

Location

Please enter the location where the problem was noticed in the space below.

Problem Noticed

Please select the problem noticed from the list below.


Please enter any further details (such as street light/utility pole number) you may have on the problem that will help us identify where the problem is located or why it might be occurring.