Report a Pot Hole Form. Please complete this online form to submit your request. Your assistance in making us aware of pot holes are appreciated.

Your First Name:*

Your Last Name:*

Your Home Address:*

City:

State:

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Zip Code:

Preferred Contact Method:*

Contact/Reply is not necessary Email Phone

Phone Number:

Email Address:

This form is for the city limits of Springfield only.

Springfield

Street name where the pot hole is located if different from your home address:

Give intersecting cross street or landmarks to help find the pot hole if different from your home address. Give as much detailed information as possible.

Photo:

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