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2. Please complete and submit this form to report issues related to the Maintenance & Facilities Department.
4. First Name*
5. Last Name*
7. Phone Number*
8. Email Address*
10. Maintenance Issues (Please Check All that Apply)

    If any of these issues are considered an emergency, please report them to the Maintenance & Facilities Department directly at (909) 820-2602.

    1. Graffiti
    2. Trash/Debris in Right-of-Way
    3. Pothole(s)/Sink Hole
    4. Fallen Tree/Branch
    5. Curb/Gutter/Sidewalk Issues
    6. Clean Curb/Gutters/Storm Drains
    7. Standing Water
    8. Tree Removal

    1. Tree Trimming
    2. Tree Roots
    3. Park Repair/Maintenance
    4. City Landscape Maintenance Issues
    5. Weeds In Street
    6. Street Sign Repair/Replacement
    7. Traffic Sign Repair/Replacement
    8. Other: Please describe below
12. Other Information
    Please describe "Other"
14. Traffic Signal Issues

    1. Traffic Signals Blacked Out
    2. Traffic Signals Flashing

    1. Traffic Signal Not Cycling Properly
    2. Traffic Signal Damage
16. Streetlight Issues

    Please provide as much information regarding the location of the streetlight. This will allow for pole identification should there be more than one streetlight along a street. If you have a pole number (example: R2101) please provide that in the "Your Message" area.

    1. Streetlight Outage

    1. Streetlight Flickering

    1. Streetlight Damage
18. Address or Location of Issue*
    Please provide locations for all the requests selected. If there is no direct address for the location, please provide as much information as possible including direction. (Example: Riverside & Baseline, Baseline north of Riverside, southbound Riverside, near the corner of..., etc.)
20. Your Message*
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22. 1. Receive an email copy of this form.
23. Email address

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24. Submit

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