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2. IDENTIFY A POTHOLE
   If you have noticed a pothole on our City streets, please tell us about it. The information will be submitted to the Public Works department for evaluation and repair, as required.
6. First Name
7. Last Name
9. Email Address
11. Pothole Location & Description*
    Please identify the location of the pothole by street name, approximate address, and cross-street.
13. Do You Have An Image of the Pothole?

    1. Yes
    2. No

    Please show the pothole and surrounding area.
14. Upload the Pothole Image Here:
    (Very helpful, but not required.)
16. You may also report a pothole by calling the Public Works Department at (210) 342-2341.
20. Thank you for helping to keep our city streets in good repair!
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field