Resident Details

First Name (*Required)

Last Name (*Required)

Email (*Required)

Phone Number (*Required)

Prefered Contact Method (*Required) Note:If incorrect or incomplete information is provided above, Borough staff may address the issue reported, but not be able to provide an update or response on the matter.
EmailPhoneNo Preference

Request Details

Request Category (*Required)
Select a categoryAdministrative Inquiry/IssueBorough eventsIllegal construction activityIllegal dumpingMissed trash pickupPark facilities and equipmentPermit questionsPotholes/curb damageRoad obstructionSigns – Missing/damagedStorm drain issuesTraffic signalsTraffic/speeding concernsStreetlightsWebsite

Subject/Title of Request (*Required)

Description of Issue (Please be as specific as possible. Include dates, times, and relevant details.) (*Required)

Location of Issue

Street Address/Specific Location (*Required)

Nearest Cross Street or Landmarks (*Required)

Attachments
Please attach any relevant documents or photos.

Have you previously contacted staff about this issue? (*Required)
YesNo

Do you want to be contacted with updates? (*Required)
YesNo

By submitting this form you consent to being contacted by borough staff to obtain additional information or to provide you with updates regarding this submission.