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Citizen Request for Services Form

  1. Please note that the Town plans and budgets annually for maintenance and infrastructure projects, which are prioritized accordingly. Use this form to request or report the following: repair of street or potholes, sidewalk condition, street or gutter drainage problems, bike paths and catch basin stoppages, street sign issues, traffic signal outage, streetlight outage, etc.

  2. Reported location must be within the Town of Rosetown. The exact reported location/site address is required

  3. Please use one form per request!

  4. Contact Information

  5. Exact Location of Job Requested

  6. Leave This Blank:

  7. This field is not part of the form submission.