Department of Public Works - Traffic Division Signal Trouble Report

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Department of Public Works - Traffic Division

Signal Trouble Report

In an effort to better serve our customers, if you know of a signal which has been damaged or needs repair, please take a few moments to fill out this form and report the trouble so that we may take care of the problem. Thank you in advance for your time and effort.


Location of the Signal:
Type of Trouble:
Type of Signal Being Reported (Stop Light, Walk/Don't Walk):

Description of Damage:
Type of Lamp Out:	Red Amber Green Don't Walk Walk Other (specify):

Name:
Street Address:
City, State, ZIP:
Phone Number:
E-Mail Address:

	If everything above is correct
	If you've changed your mind or want to start over

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