Form Center

2. The following "Report Form" will be forwarded to the appropriate Public Works Division for action. In order to effectively respond to your request, you must completely fill out the form below. Failure to complete any of the required fields may result in an incomplete report which will not be acted upon. Reporting party information will remain confidential in an effort to encourage City residents to report problems within the City when they see them.
4. Full Name*
6. Phone
7. Email*
9. Briefly describe what you saw:
11. Type of Waste Dumped / Discharged*
13. Description of Violator
15. Description of Vehicle: (License plate, etc.)
17. Where did this incident occur?
19. Street Address*
21. Nearest Cross Street
23. Description of Location*
25. When did you observe this problem?
27. Date and/or Time*
29. Please select one of the following*

    1. I would like a follow up call regarding this issue.
    2. I would like a follow up e-mail regarding this issue.
    3. I don’t need a call or an e-mail back, I would just like the problem taken care of.
Leave This Blank:


31. Submit

* indicates a required field