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Road and Bridge Service Request Form
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We appreciate your assistance to notify Arapahoe County Public Works and Development of potential road concerns and hazards. Please complete the following form to identify specific issues. Thank you for your valuable input.
Your Information
First Name
*
Last Name
*
Address
*
City
*
State
*
Zip
*
Phone Number
*
Email Address
*
Issue/Location
Please identify the type and location of the issue.
Issue Type
*
-- Select One --
Asphalt
Blading
Concrete
Concrete - Crosspans
Concrete - Curb/Gutter
Concrete - Sidewalk
Drainage - Cleaning/Debris Removal
Drainage - Illicit Discharge
Drainage - Manhole Covers
Dust Control
Graffiti
Ice and Snow Removal
Mowing
Obstructions
Potholes
ROW Maintenance
Signs
Striping
Sweeping
Traffic Engineering Services
Trash Removal
Tree and Brush Trimming
Weeds
Address Number
Street Name
*
Intersecting Street
*
City
*
Subdivision
Observed Date/Time:
*
Observed Date/Time:
Observed Date/Time:
Description of Issue
*
Photograph or Document Regarding The Problem
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