REPORT A POTHOLE
Name of street the pothole is on and closest house number if known:
________________________________________________________________________
Name of nearest cross-street, intersection, or landmark:
________________________________________________________________________
Any other information on the pothole or its location; you may leave a phone number
or e-mail address in case City Staff needs more information:
________________________________________________________________________
REPORT A TRAFFIC SIGNAL LAMP OUTAGE
Intersection location of traffic signal:
________________________________________________________________________
Is the entire traffic signal out in all directions or only one lamp of one signal?
Entire signal is out
Only one lamp is out:
Red
Yellow
Green
If only one lamp is out, which street and traffic direction is controlled by the signal that has the bad
lamp? (Eg. Dayton-Xenia eastbound)
________________________________________________________________________
REPORT A STREET LAMP OUTAGE
List the street location of the street light and the nearest landmark such as a
business or street address:
______________________________________________________________________
To submit form by email, click the link to the right. If you use a program on your computer to send email
such as Outlook or Thunderbird, then select Desktop Email Application. If you use a web-based emailservice
such as Gmail, Yahoo, Hotmail, etc., then select Internet Email, save the form where it can beeasily found,
open your email service, select new email, attach the form to the new email, and send itto
cable@ci.beavercreek.oh.us . Call 937-426-5100 x342 for assistance.
