Your NameYour 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 Accessibility Intersection Visibility Debris on Road Storm Drains Snow Removal Traffic Signals? 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 Date (dd/mm/yyyy) Time Comments & Description CAPTCHA
