Go Back Citizen Request Form EmailThis field is for validation purposes and should be left unchanged.What is being requested?SanitationStreetsWork Request TitleThis field is hidden when viewing the formStatusNewOpenIn ProgressClosedOn HoldCategory of RequestSanitation Web Request (Garbage) - Can DeliverySanitation Web Request (Garbage) - Missed PickupSanitation Web Request (Garbage) - Replace Damaged CanSanitation Web Request (Recycle) - Can DeliverySanitation Web Request (Recycle) - Missed PickupSanitation Web Request (Recycle) - Replace Damaged CanStreets Web Request - Right of Way Trees or GrassStreets Web Request - Roads, Ditches, CulvertsStreets Web Request - Sidewalks/Multipurpose PathsStreets Web Request - Signage on Roads/StreetsDescription of the RequestThis field is hidden when viewing the formGeocoderThis field is hidden when viewing the formGF_CoordinatesAddress MapTake/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.NamePhoneEmail An email address is required if you would like to be updated when the status changes.This field is hidden when viewing the formIs Kiosk?YesNo Δ
