Street Cleaning Request
Thank you for taking action in cleaning your community. Our team is eager to accept the challenge and do our part in making our neighborhoods clean again. However, sometimes this may not be possible. In order to ensure the safety of our volunteers and our team members, we must send our Scout out to view the area for potential hazards. If we are unable to service an area, we will contact the Public Works and District and ask for assistance to clean the area.
Name and Last Initial *
First and last Initial
Your answer
Major Cross Streets for Clean-up *
Your answer
Is the surrounding area residential or business? *
Is the trash on the Sidewalk or Street? *
Is there an encampment or are there makeshift tents nearby?
Your answer
How long has the trash been there?
Your answer
Would you like us to email you updates of the clean up?
Please leave as much information as possible. This will help us expedite the request.
Your answer
Never submit passwords through Google Forms.
This form was created inside of Report Abuse