Traffic Signs and Signals Repair Request

2. To report a traffic sign or signal in need of repair, please complete and submit the form below. Submissions will be reviewed by Town staff and repairs will be made when necessary. (Fields marked with * are required)
3. Please select one*

   1. Traffic Signal
   2. Sign
   3. Lane Markings
   4. School Zone Flasher
   5. Other
5. If other please describe:
8. Location*
10. Time
11. Date*
13. Additional Information
17. Personal Information
19. First Name*
20. Last Name*
22. Phone Number*
24. Email Address*
26. Address
28. Address
30. City
31. State
32. Zip
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field