If this is an emergency (like stop sign down, tree blocking a road; etc.), please contact our 24/7 telephone line at 419-213-2860.

Non-emergency reported problems submitted by this form will be acted upon during normal business hours, 7:30 a.m. to 4:00 p.m.

Brief Description*

Jurisdiction
(If City or Village then call them)*

Choose an Answer Washington Township Sylvania Township Springfield Township Monclova Township Waterville Township Providence Township Swanton Township Spencer Township Harding Township Richfield Township Jerusalem Township

Problem Location

Street Number and Name:*

*

Address Line 2:

City:*

State:*

Zip Code:

Photograph:

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

Your Information

Name:

Street Number and Name:

Address Line 2:

City:

State:

Zip Code:

Phone Number:

Fax Number:

Email Address:

Preferred Contact Method:*

Do NOT contact me Email Phone