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2. The City of Ashland FixiT Form will help us identify a problem in your area -- and fix it fast. Should a problem require urgent attention, please call us immediately. For a police emergency, dial 911. Otherwise, call (715)682-7061.
   Thank you for your assistance!
4. Contact Information
6. First Name*
7. Last Name*
9. Address1*
11. City*
12. State*
13. Zip*
15. Phone Number*
16. Email Address*
18. Please indicate the nature of your problem by checking the appropriate box(es) below:
20. 1. Pothole/Poor Road Surface
    2. Damaged curb
    3. Traffic signals
    4. Weeds
    5. Chemical discharge
    6. Snow Removal Issue

    1. Litter
    2. Road striping
    3. ADA Complaint
    4. Blocked drainage channel
    5. Street Lights
    6. Damaged sidewalk

    1. Traffic/Road signs
    2. Overhanging trees/shrubs
    3. Hazardous parking
    4. Storm sewer leaking/blockage
    5. Water leaking in public ROW
    6. Loose/protruding manhole cover
22. Brief Description (or other problem not listed)
24. Location of Problem*
    Please provide an address of the location and/or description of the location. Include any asset tag info such as light pole numbers.
Leave This Blank:


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

    This field is not part of the form submission.

28. Submit

* indicates a required field