Reporting Dangerous Conditions

Reporting Dangerous Conditions
Contact Information for Person Reporting
Contact name and information is required. The State of New Jersey will be unable to investigate this report without accurate contact information.
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Information on Dangerous Conditions
Describe the Hazardous Condition:*
What is the location of the Hazardous Condition?*
Should be Empty: