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Adopt-A-Drain Report Form
This form is intended for use by City of Atlanta Department of Watershed Management Adopt-A-Drain Program participants. Please complete this form to the best of your ability. Contact the Adopt-A-Drain coordinator if you have any questions at TLawson@atlantaga.gov or 404-546-1411.
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Email Address *
Is the individual or organization a certified Adopt-A-Drain volunteer? *
You have submitted an Adopt-A-Drain Application & Adoption Commitment Form and been approved.
First and Last Name or Organization *
Phone Number *
Date of Storm Drain Cleanup *
MM
/
DD
/
YYYY
Address/Location of Storm Drain *
Number of storm drains cleaned: *
Does the storm drain need additional maintenance by the Department of Watershed Management? *
Please contact ATL311 if storm drain needs immediate attention. Be sure to record the Work Order number.
If additional maintenance is required, please describe:
Please contact the Adopt-A-Drain coordinator if you have any questions or need assistance.
TLawson@atlantaga.gov or 404-546-1411
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