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Report a Problem

  1. The City of (Your City) FixiT Form will help us identify a problem in your area -- and fix it fast. Should a problem require urgent attention, please call us immediately. For a police emergency, dial 911. Otherwise, call (XXX) XXX-XXXX.

    Thank you for your assistance!

  2. Contact Information

  3. (Please provide nearest intersection if address is unavailable)

  4. Type of Problem

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  6. This field is not part of the form submission.