Citizen Requests - Blight Control

Submitted

MonthDayYearHourMinutesAM/PM Option
Request Details

This form will guide you to provide the necessary information so the appropriate County officials will be notified and can assist you.
This request will be routed to
Category*
Please specify
Vector Control Type*
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Question for...*
Please specify
Technology/Map Request Type*
Please specify
Animal Control Problem Type*
Please specify
Blight Complaint Type*
Please specify
Road Safety Request Type*
Please specify
Trees and Parks Request Type*
Please specify
Health and Safety Request Type*
Please specify
Waste and Recycling Request Type*
Please specify
Impact(s)*

Electric WireRoadway ImpassibleImprovement StructureVehicleOther
Abatement Type*

Request Spray for MosquitoesReport Still Water/Breeding AreaNeglected Swimming Pool
Any Additional Details
Attachments or Photos

Upload a File
Optionally, include a photo evidence supporting your request. Cancelof

Report Location

Please specify where the location relating to this report.
IF YOU DO NOT SPECIFY THE LOCATION, WE WILL BE UNABLE TO ASSIST YOU.

Select to
1. Enter the 911 Address or
2. Pan, zoom, and move the Map Pin (If you share your location, the Map option will automatically locate your IP or GPS)
Location Options*

AddressMap
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Contact Information

We need your information to contact you if we need to follow-up or have questions.
Your Name*

First NameLast Name
E-mail Address
Phone Number*

Area CodePhone Number
Preferred Method

E-MailPhone
Enter the message as it's shown*
Should be Empty:

Request Details