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2. Please provide your contact information.
4. First Name*
5. Last Name*
7. Email Address*
8. Phone Number*
12. What are you reporting today?*

    1. Pothole
    2. Roadkill
14. Location of the pothole or roadkill.

    Please list the street (and if applicable, cross street).

15. Date Issue Observed
    Date Issue Observed
17. Please describe the problem.

    Please add any applicable information that will help us to locate/address the issue.

19. Estimated Time Response

    The City of Newton will investigate your concern as soon as possible. Estimated response time may depend on weather conditions. The repair generally includes patching the potholes with an asphalt material.

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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

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