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DPW Service Request Form
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•
Public Works Conference
• DPW Service Request Form
Choose from the following:
Traffic Sign Request
Pot Hole Repair Request
Street Sign Request
Sidewalk Repair Request
Crosswalk Painting Request
Street Light Request
Street Sweeping Request
Illegal Dumping Pickup Request
Graffiti Removal Request
Vacant Lot Cleaning Request
Tree Cutting/Trimming Request
Recycle Bin Request
Sand Barrel Fill Request
Street Light Out Notification
Alley Cleaning Request
Trash Pick Up Miss Notification
Sand Barrel Request
Yard Waste Miss Notification
Parking Facility Request
Parking Facility Complaint
Sanding Complaint
Plowing Complaint
Please provide the following information:
Name:
required
Email:
required
Address:
required
Phone:
Cell Phone:
Date:
required
Time:
required
Request Location:
required
Other Request:
Other Complaint:
Other Notification:
This document and its contents are used for the City of Milford Department of Public Works
