Community & Non-profit
Pothole & Road Hazard Report form template
A fast mobile report for residents to flag potholes, broken streetlights, and other road hazards. Pinpoints the location, gathers a photo, and routes the issue to the public works crew for prioritized repair.
311 ServiceMobile-readyPhotos
What’s in the box
Snap & send
Attach a photo so crews can assess severity before arriving.
Exact location
Capture the street address or nearest intersection.
Status updates
Optional contact info for repair notifications.
Perfect for
- Pothole reports
- Broken streetlights
- Damaged road signs
- Fallen tree limbs
- Flooded roadways
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Free forever with unlimited submissions. No credit card.
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