City of Milford, CT - Public Works Request Form

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Public Works Request Form

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	Welcome to the City of Milford Public Works Service Request Form. By filling out the form below, citizens can direct comments or request to the Department of Public Works for further action. Please be sure to enter your name and EMail. Please choose from one of the items listed above.

Choose from the following:

	Street Sweeping Request		Trash Pick Up Miss Notification
	Tree Removal/Trimming Request		Recycle Bin Request
	Pot Hole Repair		Storm Drain Cleanout
	Sidewalk Repair		Property Damage Complaint
	Plowing Complaint		Roadside Mowing Request
			Street Sign Request

Please provide the following information:

Name:		required
Email:		required
Address Number:		required
Street:		required
City:
State:
Phone:
Cell Phone:
Location of Issue:		required
Date of issue:

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