Drain Maintenance Requests

Drain Inspection Report

Maintenance of drainage facilities is necessary from time to time to ensure proper function. If you are aware of a maintenance issue or have a concern, please contact our office at (269) 673-0440 or report it using the form below. We will inspect the situation and determine the best course of action.

"*" indicates required fields

1. Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

2. Business (if applicable)

3. Does the Land/Home Owner need to be present? *This question is required.

4. Contact Information *This question is required.

First Name

Last Name

Phone Number

Email Address This question requires a valid email address.

Drain Issue Information

5. Please select the issues from the list below

6. Please upload any relevant photos (optional)Upload a .jpg, .png, or .pdf. (Max. file size: 50 MB, limit 5 files)

File: {{filename}} delete

Drain Location Information

Drain Map Viewer

7. Drain Location

Street Address

Apt/Suite/Office

City

State

Zip

Subdivision

Lot

Section

8. Additional Comments Please provide any additional details here.

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