Fillable CITY OF MURRAY STREET DEPARTMENT RECORD OF COMPLAINT (City of Murray)

Fill Online, Printable, Fillable, Blank CITY OF MURRAY STREET DEPARTMENT RECORD OF COMPLAINT (City of Murray) Form

Use Fill to complete blank online CITY OF MURRAY (KY) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

CITY OF MURRAY STREET DEPARTMENT RECORD OF COMPLAINT (City of Murray)

On average this form takes 5 minutes to complete

The CITY OF MURRAY STREET DEPARTMENT RECORD OF COMPLAINT (City of Murray) form is 2 pages long and contains:

  • 0 signatures
  • 22 check-boxes
  • 8 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Murray

BROWSE CITY OF MURRAY (KY) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
CITY OF MURRAY STREET DEPARTMENT
RECORD OF COMPLAINT
200 Andrus Drive • Murray, KY 42071 • Phone 270-762-0336 • Fax 270-762-0379 •
www.murrayky.gov
TYPE OF COMPLAINT:
Roadway Issues
_______Pothole
_______Missing or damaged stop sign and or street name sign
_______Damaged or vandalized traffic sign
_______Faded or illegible traffic sign
_______Tree or Shrubbery encroaching into roadway
_______Tree or Shrubbery blocking view of traffic sign
_______Missing/damaged manhole cover (Sanitary Sewer – Please contact Water Dept.)
_______Missing/damaged drainage grate (Storm water sewer)
_______Blocked or clogged drainage culvert
_______Other: Explain_______________________________________________
For Traffic signal issues (Please contact the State Highway Department @ 753-2333)
Sidewalk Issues
_______ Sidewalk broken
_______Sidewalk settled or lifted at joint
_______Sidewalk uneven or shifted
PRINT
SUBMIT
_______Sidewalk concrete spalding or flaking
_______Portion of sidewalk missing
_______Tree or shrubbery encroaching into sidewalk
_______Sign obstructing pedestrian travel.
_______Other: Explain____________________________________________________
For Vehicles parking on or blocking sidewalk, please contact and report to MPD)
Storm Water Drainage Issues
_______Damaged/deteriorated culvert pipe
_______Holes forming in vicinity of storm water sewer pipe
_______Holes forming around/near water drop inlet box
_______Other: Explain____________________________________________________
LOCATION/ADDRESS OF COMPLAINT:
_____________________________________________________________________________
Please provide the following information so that we may be able to contact you should
we need additional information regarding your complaint.
NAME: _________________________________
ADDRESS: _________________________________
_________________________________
CONTACT NUMBER:_________________________________
If you see someone tampering with a stop/street sign please call the
Murray Police Department at 270-753-1621.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

CITY OF MURRAY STREET DEPARTMENT RECORD OF COMPLAINT (City of Murray)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 14 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document