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2. Use this form to request or report the following: repair of street or potholes, reporting of hazardous sidewalk condition, street or gutter drainage problems, bike paths and catch basin stoppages, street sign issues, traffic signal outage, streetlight outage (provide streetlight pole number). Your name, telephone number, and e-mail address are not required, but are helpful should questions arise.
4. Reported location must be within the City of Texarkana, Texas Boundaries. The exact reported location/site address is required
6. Please use one form per request!
10. Identify your concern*

    Please help us decide who should address your concern by choosing the category most closely associated with the issue:

    1. Obstruction of the Right-of-Way (Basketball goals, signs, etc.)
    2. Illegal Dumping & Litter
    3. Junk Vehicles
    4. High Grass and Weeds
    5. Substandard building or dilapidated structure
    6. Pothole
    7. Drainage
    8. Street Condition
    9. Water
    10. Fire

    1. Police
    2. Parks (including Southwest Center and Collins Senior Center)
    3. City Buildings and Facilities
    4. Stray Animal
    5. Street Light Outage
    6. Traffic Signal Outage
    7. Street Sign
    8. Health Inspection (Restaurants, Grocery Stores, Food Service)
    9. Customer Service
    10. Other
12. Your Contact Information
14. First Name
15. Last Name
17. Phone Number
18. Email Address
20. Street Address:
22. Exact Location of Job Requested (if known)
24. Street Name, Address or Block Number*
26. Nearest Two Cross Streets
28. Description of Concern*
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field