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2. The City of Lima Request Form will help us identify a problem or request you may have. We will direct your request to the proper department. Should a problem require urgent attention, please call us immediately. For a police or fire emergency, dial 911. Otherwise, call (419) 228-5462(LIMA).
   Thank you for your assistance!
4. Contact Information
6. First Name*
7. Last Name*
9. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Phone Number*
18. Email Address*
20. Please indicate the nature of your problem by checking the appropriate box(es) below:
22. 1. Pothole
    2. Damaged curb
    3. Traffic signals
    4. Weeds
    5. Dogs barking
    6. Abandoned vehicles
    7. Chemical discharge
    8. Water leaking

    1. Litter
    2. Road striping
    3. ADA Comment/Complaint
    4. Blocked drainage channel
    5. Street Lights
    6. Damaged sidewalk
    7. Traffic/Road signs
    8. Overhanging trees/shrubs

    1. Noise nuisance
    2. Hazardous parking
    3. Storm sewer leaking/blockage
    4. Water leaking on roadway
    5. Water in Basement
    6. Loose/protruding manhole cover
    7. Discrimination Complaint
    8. Fair Housing Complaint
24. Brief Description (or other problem not listed)
26. Location of Problem*
    You must enter a location of the problem
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

* indicates a required field