Report A Concern
Please use this form to report any issues or concerns you are experiencing in the Punxsutawney Borough.
Please describe the issue or concern:
*
When did this issue occur?
*
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Where is this issue located/did it occur?
*
What is your name?
*
First Name
Last Name
What is your email address?
*
example@example.com
What is your phone number?
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please verify that you are human
*
Submit
Should be Empty: