Service Request Form HiddenCitizen Portal Request IdentifierYesHiddenTitle HiddenStatusNewOpenIn ProgressClosedOn HoldIssue Type*Abuse of City VehicleBuilding MaintenanceCustodialCode ViolationGraffitiMosquito SprayParks - Clean UpParks - Repair FacilitiesParks - Repair SprinklerSolid Waste - Deliver PolycartSolid Waste - Go BackSolid Waste - MaintenanceSolid Waste - Remove PolycartSolid Waste - Replace PolycartSolid Waste - Special PickupSolid Waste - Update InfoStreets - Bags of LeavesStreets - Clean Storm DrainsStreets - CleanupStreets - Fence RepairStreets - Grade RoadStreets - HazardStreets - LightsStreets - Paint LinesStreets - Pavement PatchStreets - PotholesStreets - Sidewalk RepairStreets - Sign InstallStreets - Sign RemovalStreets - Sign RepairStreets - Special Pick UpStreets - Street RepairStreets - Sweep RoadStreets - Tree TrimmingStreets - Weed SprayStreets - WeedsStreets - Weeds in AlleyStreets - Weeds on SidewalkWater - BreakWater - Change MeterWater - Check Line For LeaksWater - Check Meter BoxWater - Exessive Standing WaterWater - Fire Hydrant LeakWater - Install MeterWater - Meter IDWater - Missing LidWater - Pavement PatchWater - Replace Meter CanWater - Re-read MeterWater - Sewer BackupWater - Sewer OdorWater - SinkholeWater - Straight ConnectWater - Water OffOtherCode Violation TypeAccumulation of GarbageAnimal RestraintAnimal Running at LargeCampaign SignsLivestockPublic NuisanceRecreational VehicleSignsWeeds & LeavesYard SalesPark9/11 Memorial ParkAnna Becker ParkCorazonDoodle BuggEagle ParkJose Gallegos ParkRosedale ParkVivian FieldsLicense Plate or Vehicle Number Vehicle DescriptionCheck the Damaged Items Curbs/Sidewalks Sprinkler Litter Field Damage Fencing Restroom Lights Hazardous Pothole Sewer Playground Other Other Damaged Item Description Description of the IssueDate and Time of OccurrenceHiddenAddress_NOTSAVE Address_NOTSAVE City_NOTSAVE State_NOTSAVE Zip_NOTSAVE AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country_NOTSAVE Type the address of the issue in the field below. Google will display a list of matching addresses as you type. Use the down arrow key and press the enter key for the correct address.Address of the Issue Tap/click the Pin in the address to get your current location.Skip past the mapHiddenGeocoderHiddenLocation CoordinatesMap Take/Upload Picture Drop files here or Select files Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 20 MB, Max. files: 10. Tap/click Select Files to take or upload a picture.HiddenDisplay On Public Web Site?YesNoIf Yes, only Issue Type, Description, Status, Location and Date will be displayed. This helps other people know that someone else has already submitted the issue.Would you like to be Contacted?YesNoName* Phone*Contact Address* Street Address Address Line 2 City State / Province / Region Email An email address is required if you would like to be updated when the status changes.CAPTCHAUpdated MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged. Δ
