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REPORT A POTHOLE OR SIDEWALK PROBLEM

(*) = Indicates required field

Type of Repair: Choose one option(*)

Pothole Sidewalk

Please tell us the type of repair you are reporting

If a sidewalk repair, what is the nature of the problem?

Please describe the nature of the problem?

What is the nature of the problem with the sidewalk?

What is the exact Street Name of repair? (*)

Please choose from the list of the streets inside town limits

If you do NOT see your street/road listed, it is a NC DOT maintained street. Please call the NC DOT Division Office at 336-903-9229 or 919-715-7000 or report online at NC Dept. of Transportation.

What is the nearest house or business street number?(*)

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What is the nearest landmark or business of repair?

Please enter the nearest landmark or business of repair location

Any other comments?

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Name of person reporting:(*)

Please enter the name of person reporting.

Preferred Contact Method? Choose one option(*)

Telephone/Cell Email Both None

Please make a selection for preferred contact method.

Telephone/Cell # of person reporting(*)

Please enter your daytime telephone number of person reporting

E-mail address:(*)

Please enter a valid email address.

(*)

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- - Report Pothole / Sidewalk Problem

REPORT A POTHOLE OR SIDEWALK PROBLEM