2. Civic City
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6. Civic City's Fix It Form will help us identify a problem in your area - and fix it fast.

   Please complete the form below. Mark the box which best describes the issue that you would like addressed. Please provide us with a brief description and location of the problem along with your name, address, and daytime phone number so that we may keep you informed.

   Should the issue require urgent attention, please phone us immediately. For an emergency, dial 9-1-1. Otherwise, call (785) 313-1235.

   Thank you for your assistance.
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10. Issue Reporting
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14. Please indicate your problem by checking the appropriate box:

    1. Pothole
    2. Damaged curb
    3. Damaged sidewalk
    4. Overhanging trees / shrubs
    5. Blocked drainage channel
    6. Water leaking on roadway
    7. Storm sewer leaking / blockage
    8. Loose / protruding manhole cover
    9. Road striping
    10. School zone traffic signals
    11. Street lights
    12. Traffic / road signs
    13. Traffic signals
    14. Dogs barking / running loose
    15. Water leaking
    16. Noise nuisance
    17. Abandoned vehicles
    18. Weeds
    19. Litter
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18. Brief Description (or other problem not listed)
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22. Location of Problem
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26. Contact Information
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30. Your Name:*
32. Your Address:*
34. Phone Number:*
36. Email Address:
Leave This Blank:


37. Submit

* indicates a required field