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Pothole Reporting/Grading/Tree Removal Form

  1. **We recommend that applicants use Chrome, Firefox, or Internet Explorer 10 or higher.**

  2. Upload a photo of the pothole, road or tree being reported.

  3. What is the reason for this form?*

    Check all that apply

  4. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  5. Leave This Blank:

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