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Highway Department Request For Service

  1. Highway Department Request For Service
    PLEASE NOTE: ALL fields require an answer. You will not be able to submit the form until ALL fields are completed.
  2. Is your request for service on the road or street on which you live?*
      1. For example: "On Meridian Road between 600 North and 700 North" or "the intersection of Smoke Road and Division Road"
      2. What type of service are you requesting?*
      3. After you have completed all fields on this form, please click on Submit or Submit & Print (if you want to keep a printed copy). After you click on Submit or Submit & Print, you will be redirected to a submission confirmation page. If you are unable to submit, it is likely that you failed to complete a field on this form.
      4. Leave This Blank:

      5. This field is not part of the form submission.