City of Kirkwood Public Works Department
REQUEST FOR SERVICE Form

The City of Kirkwood Street Division is responsible for the maintenance and repair of 221 lane miles of street pavement. We want to ensure you have good, safe roads to get you where you need to go. And because no one knows the roads you travel better than you, we want to hear from you whenever you notice something that needs our attention.

PLEASE NOTE: Some of the "Request for Service" choices below do not fall under the responsibility of the Street Division. If your request does not fall under the Street Division's responsibility, please know that we will forward your request to the proper city department for prompt attention.

Please provide the following contact information so that we can reach you if we have questions about your request:

Name
Street Address
Address (cont.)
Zip/Postal Code
Work Phone
Home Phone
E-mail

What is your request for service regarding? (Choose as many as apply)

High Weeds
Street Striping
Street Lighting
Traffic Signals
Traffic Signs
No Parking Signs
Pothole
Street Repair
Guardrail/Guard Cable
Tree(s) in Right-Of-Way
Illegal Dumping
Dead Animal On Roadway
Abandoned Vehicle

Problem Location (Address or Intersection):


Problem Description/Additional Information:


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City of Kirkwood Web Form   www.ci.kirkwood.mo.us
Copyright © 2003 City. All rights reserved.
Revised: 03/06/08