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2. 
4. This form is for public areas only. If there is a concern with private property please complete the FixIT form.
6. Please state the location you are reporting:
   If possible please include the address number and street. If not possible, use location descriptors and landmarks.
8. Please describe the area, amount of litter and type of litter:
10. Will any special equipment be required to remove all of the litter?
    -- Select One --YesNo
12. If yes, what do you recommend is needed? (Large trailer, shovels, a large group, etc.)
14. Have you reported this area before?
    -- Select One --YesNo
16. If you would like to receive an update status on the area you've reported, please complete the contact form below.
20. Name
21. Email Address
23. Address
25. City
26. State
27. Zip Code
29. Phone Number
30. Fax Number
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field