Your contact information is required so we can confirm the location/nature of the problem. * Your Name:

* Your Civic Address:

* Your Phone:

Best time to call you:

Your E-mail address:

Type of Problem
please select any of the following:

Road surface / Pothole

Traffic Signs

Intersection Visibility

Debris on Road

Storm Drains

Snow Removal

Traffic Signals concerns can be redirected to BC Ministry of Transportation (250-847-7403) or Billabong Road Maintenance (250-847-8737) or we will redirect for you.

Street Lights

Parks and Trails

Parking

Dogs & Animals

Water Leaks

Noise

Vandalism / Graffiti

Air quality

Unsightly / Unsafe premise

Building / Development Permit

Business Licence

Other

* LOCATION:

When was the problem noticed?

* Date (dd/mm/yyyy)

* Time

Comments & Description

To submit this form, please enter the characters you see in the image: