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2. The City of Waukegan Public Works Department's Work Request Form will help us identify a problem in your area. Should a problem require immediate attention, call us at (847) 360-0944.
   Thank you.
4. Contact Information
6. First Name*
7. Last Name*
9. Your Address*
11. Phone Number*
12. Email Address*
14. Location of Problem*
16. Please indicate the nature of your problem by checking the appropriate box(es) below:
18. 1. Pothole repair
    2. Sidewalk repair
    3. Street sweeper
    4. Grass cutting
    5. Snow removal
    6. Curb/Gutter
    7. Mail Box Repair

    1. Tree Trimming
    2. Tree stump removal
    3. Sewer back-up
    4. Barricades
    5. Street flooded
    6. Cave In
    7. Manhole cover off

    1. Catch basin
    2. Locates (J.U.L.I.E. )
    3. Street light problem
    4. Traffic sign down
    5. Garbage
    6. Brush/Branch Pickup
20. Brief Description (or other problem not listed)
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit Submit and Print

* indicates a required field