Maintenance Request Form

Please complete this form to report any concerns, fence damage, graffiti removal, homeless encampment or illegal dumping related to District facilities, i.e., storm drains, dams, basins, levees and/or channels.

First Name

Last Name

Home Address

E-Mail Address

Phone Number

Location of Facility

Date

Intersection

Intersection (Cross Street #2)

City or Community

Detailed description of damage / concern / dumping

Do you want to be contacted?