Reporting Party First Name * Reporting Party Last Name Reporting Party Address Street Address, City, State, Zip Code Reporting Party Phone Number * Location of Hazard * Describe the location of the hazardous condition. Street, sidewalk, playground? What is the street address or nearest landmark? Description of Hazard * Please be as descriptive as possible. Is a tree limb in the road? Is a wire down or low hanging? Is there debris in the roadway? Do you have a photo of the Hazardous Condition? If so, please upload it here.Files must be less than 5 MB.Allowed file types: gif jpg jpeg png mov.
