Form Center

Pothole Complaint Form

2. Please complete the online form below to submit your complaint.
   Please do not report potholes on Route 17 or Route 287 as these are state/county roadways.
4. Contact Information
6. Name:
8. Address:
10. Telephone Number:
12. Email Address:
14. Location
16. Specify Location:*
18. Intersecting Street:
Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field