City of Yreka Pothole Repair Request Form
Please fill out the fields below to submit
What is the name of the street the pothole is located on?
Nearest Cross Street
What is the name of the nearest cross street from the pothole?
Enter the nearest address to the pothole location.
If known, enter the Latitude of the pothole in decimal degrees.
If known, enter the Longitude of the pothole in decimal degrees.
Optional: Enter your email to be notified when the pothole repair has been completed.
Optional: Enter your phone number to be notified when the pothole repair has been completed.
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