Report A Concern

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?*

MonthDayYear
Date
Hour MinutesAM/PM Option
Where is this issue located/did it occur?*
What is your name?*

First NameLast Name
What is your email address?*
example@example.com
What is your phone number?*
Please enter a valid phone number.
Please verify that you are human*
Should be Empty: