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2. Important Notes:
   • For water-related emergencies, call 972-547-7360.
   • For non-water related emergencies, call 972-547-7350.

   For non-emergency issues, please complete this form.

4. First Name*
5. Last Name*
7. Address*
9. Phone Number*
10. Email*
12. Address / Location of issue if different from home address
14. What kind of issue are you reporting?*
    -- Select One --DrainageTrash / RecyclingSewer BackupSewer SmellStreet LightingStreets PotholesStreets DebrisTraffic SignalsTraffic SignsWater BillingWater PressureWater QualityWater LeakWater WasteStormwater MaintenanceOther
16. Water Quality Issue

    1. Bad tasting water
    2. Discolored water
17. Water Leak

    1. Broken Sprinkler Head
    2. Fire Hydrant
    3. Meter Box
    4. Under the Street / Sidewalk
    5. Irrigation Control Box
    6. Unable to Determine
18. Water Waste

    1. Watering on wrong day of the week
    2. Water running away from property
    3. Watering during rain / freeze
    4. Broken Sprinkler Head
20. Please tell us a little more about the issue you are reporting.*
22. Send a photo - 1
23. Send a photo - 2
25. Photo Tips
    • Make sure the photo contains an image of the entire problem area.
    • Try and get as much detail as possible.
    • Don’t shoot into the sun.
    • Hold the camera straight and not at an angle.
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field