Please enter the approximate location of the pothole. This can be an address, or intersection of streets.
Example: "100 Main Street", or "Intersection of 2nd & Main Street".
Enter an optional detailed description of the pothole or pothole location.
If you include your email, we will send you a confirmation of your entry and follow up with the Service Request number in a separate email
Upload an optional image of the pothole if you have one.