Please use this form to report a pothole to the Public Works Department. To ensure that City crews are able to locate the pothole you are reporting, please enter as much information as possible.

Once your request is received, City crews will address the pothole as soon as possible. If you'd like to speak to someone about your report, please contact the City Services Center at (608) 755-3110.

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1

On what street is the pothole located? If possible, please include an address or block number. (Example: "1500 block of North Washington Street" or "1502 North Washington Street")

On what street is the pothole located? If possible, please include an address or block number. (Example: "1500 block of North Washington Street" or "1502 North Washington Street")

2

What intersection is nearest to the pothole? (Example: North Jackson Street & West Wall Street)

What intersection is nearest to the pothole? (Example: North Jackson Street & West Wall Street)

3

On what side of the street is the pothole located?

On what side of the street is the pothole located?

North

South

East

West

4

Is the pothole located in front of any recognizable building or landmark?

Is the pothole located in front of any recognizable building or landmark?

5

Please report any other information that might assist City crews in locating the pothole.

Please report any other information that might assist City crews in locating the pothole.

6

Contact Information. If there is a problem with your request, City staff will contact you if you wish to provide your information. (Optional)

Contact Information. If there is a problem with your request, City staff will contact you if you wish to provide your information. (Optional)

Name

Phoneext.

E-Mail

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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