City of Piqua Ohio
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 Street Department
 Citizen Input Form
 
Use this form to report problems or situations to the Street Department.  The information you enter on this form will be emailed directly to the Street Department. 

The Street Department will contact you if additional information is needed.        
 
 
Name:      

Address: 

City:    State:    Zip Code: 

Telephone: 
Email: 
 
To report your concern to the Street Department, click the option in the categories below that most closely describes your concern.  Fill in any additional information in the textboxes provided.
 
Streets & Alleys Pothole Manhole Catch Basin
Glass Debris
Other  (Explain Below)
   
Signs Street Name Defaced Leaning
Other  (Explain Below)
   
Weeds Mowing Brush Cut  
Other  (Explain Below)
 
   
Misc. 
(please explain)
   
Location & Further Description
   
 

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