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  1. Instructions
    All required fields must be completed before we accept a complaint. We strongly recommend attaching photos of the pothole, as photo documentation would greatly enhance our ability to successfully respond to your complaint.
  2. Please give the street name and location of the pothole (i.e. South side of road, next to this address)
  3. If available, please upload any photos that may be helpful.
  4. Leave This Blank:

  5. This field is not part of the form submission.