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Run: 311 Service Request Intake and Routing Form

Use this 311 Service Request Intake and Routing Form to capture non-emergency issues, route them to the right department, and track resolution from submissio...

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Submission Notice

Briefly describe your request (required)

This is a non-emergency request (required)

Check this box to confirm the issue is not an emergency and does not require immediate police, fire, or medical response.

Yes No N/A

Would you like to be contacted about this request? (required)

Requester Information

Your name (required)

Email address

Used for status updates and follow-up questions.

Phone number

Optional alternative contact method.

Location Details

Location type (required)

Service location (required)

Additional location details

Request Classification

Request category (required)

Priority (required)

Use the lowest priority that accurately reflects the impact.

Responsible department

Auto-routed based on the selected category.

Issue-Specific Details

How many lights or signals are affected?

Roadway issue type

Water or drainage details

Describe the issue

Supporting Information

Upload photos

Optional photos of the issue.

Best time to contact you

Additional notes

Routing and Resolution Tracking

Request number

Assigned team

Status

Date received

Date resolved

Resolution notes

Get your results

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Email (required)

Your name (optional)

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