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Public Service Maintenance Request Form
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The City of Irwindale - Public Service Maintenance Request Form will help us identify a problem in your area. Should a problem require urgent attention, please call us immediately at (626) 430-2211
Contact Information
Name:
Phone Number:
Email Address:
Fax
Street Address:
Please indicate the nature of your problem by checking the appropriate box(es) below:*
*
Pothole / Manhole
Damaged Curb
Traffic Signals
Weeds / Irrigation
Illegal Dumping Debris
Litter
Road Striping
ADA Complaint
Blocked Drainange Channel
Damaged Side Walk
Traffic / Road Signs
Overhanging Trees / Shrubs
Storm Sewer Leaking / Blockage
Graffiti
Road Hazzard
Other
Brief Description (or other problem not listed)
Specify Location:
*
If you have a photo, please upload the photo here:
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(DOC, DOCX, XLS, XLSX, TXT)
Preferred Contact Method:
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