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Service Request

Public Works Service Request

Please complete the service request below. Then fill in the text verification field by typing in the letters you see in the image. Finally, press the send button to submit your request to the Casa Grande Public Works Department. If you have any questions, please call (520)421-8625.

First and Last Name

Reporting Person Owner Renter

Address

Phone Number

Please describe the work requested or Location of Problem

Type of Request or Work Activity Alley Branches/Limbs New Service - Recycle Only New Service - Trash Only New Service Trash and Recycle Pick Up Container Pick Up Rolloffs Potholes Sewer Backup Sewer Odor Sewer Roaches Special Pickup Street Light Out Traffic Signal Light Traffic Vision Blocked Uncontained Trash Other

If new service- Please enter your delivery date. Deliveries are made on the following Tuesday or Friday only

What Subdivision (optional)

To reduce spam, please type the numbers shown here into the box.

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