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Street Maintenance Request Form

The Street Division thanks you for choosing the City of Colorado Springs to take care of your street problems. Please fill out the following form, press the Submit button, and your request will be forwarded to the Street Maintenance Department immediately.  Required fields are labeled and are noted by a red * 

To help us address your request, please provide as much information as possible when completing this form!

About You - It is our policy to keep your identity confidential. This information is helpful in case we need additional information to process your request.

 

 
* Date (mm/dd/yyyy)
 
Email Address
 
* Last Name
 
* First Name
 
Phone (000) 000-0000
 
Address
 
City
 
State
 
Zipcode
 
* Location of Request - Please provide detailed information such as street name, direction of traffic flow (north bound, south bound, etc.), nearby cross streets, landmarks such as nearby buildings, side of the street, location in the street and distance from the curb.
 
* Description of Request
 
* Nature of Problem - Please be as specific as possible! Helpful information includes descriptions of the problem.
 
Grid Area (if known) Area of town within the 16 Grids. See the Grid map under the Snow and Ice Response Site; Snow Routes Link