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2. This form is to be used to report problems that Town operations need to address like potholes, road grading, etc. If this is an emergency, please dial 911. Anonymous submittals will be deleted. This form is not a place to report a crime or voice opinions. 

   If your issue is power loss, please contact your utility company.

4. First Name*
5. Last Name*
7. Type of Problem*
   -- Select One --Traffic Related IssuesTown Tree IssuesPot Hole IssuesSidewalk IssuesStreet Light IssuesSnow/Ice IssuesCatch Basin IssuesConstruction IssuesWebsite IssuesPick Up a Dead AnimalSewer IssuesStreet/Traffic SignsWater IssuesAll Other Issues
9. Description of Problem*
11. Problem Location*

    Street Address

13. Upload Photo(s) of Problem

15. If you would like to be contacted about this request please provide an email address or phone number below

17. Email Address
19. Phone Number
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field