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Date of Report
Location of problem: Please try to be as specific as possible about the location and nature of the problem. List the nearest home address or business address regarding the problem area, as well as the closest alley/street intersection.
IMPORTANT: PLEASE GIVE THE ADDRESS OF THE PROBLEM LOCATION. We are often unable to respond to complaints due to lack of information regarding the exact location of the problem.
Situation:
Severe Moderate Newly forming
Additional comments:
Please provide your contact information, this is in case we experience difficulties in locating the problem and to ensure that the problem has been resolved.
Name:
Your telephone number:
Your e-mail address: