If this is an emergency (like stop sign down, tree blocking a road; etc.), please contact our 24/7 telephone line at 419-213-2860.

Non-emergency reported problems submitted by this form will be acted upon during normal business hours, 7:30 a.m. to 4:00 p.m.

Brief Description*

Jurisdiction
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Choose an Answer Washington Township Sylvania Township Springfield Township Monclova Township Waterville Township Providence Township Swanton Township Spencer Township Harding Township Richfield Township Jerusalem Township

Problem Location

Street Number:

Street Name:*

Intersecting Street Name:

City:

State:

Zip Code:

Photograph:

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Your Information

Name:

Street Number and Name:

Address Line 2:

City:

State:

Zip Code:

Phone Number:

Fax Number:

Email Address:

Preferred Contact Method:*

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