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Constituent Services Form Test
Constituent Services Form Test
Constituent Services Form Test
Report an Issue
What is the type of issue you are reporting?
Road Maintenance
Graffiti
Property Maintenance / Code Violations
Illegal Dumping
Trash and Recycling
Parks and Trails
Weeds
Utilities
Other
Road Maintenance
Pothole
Street Sweeping
Street Grading
Traffic Signals
Traffic Engineer Study
Signage (stop signs, speed limit signs, street signs, etc.)
Snow or Ice Removal
Sidewalk or Curb Repair
Culvert/Stormwater Drainage Cleanout
Street Striping and Painting
Road Paving Request
Other (city easements, alley clean ups, etc.)
Graffiti
Graffiti on public property
Graffiti on private property
Graffiti in park, playground, trail, or open space
Graffiti on sign (stop sign, speed limit sign, etc.)
Property Management/Code Violations
Construction/building without a permit
Unsightly yard
Nuisance or blighted property
Outdoor Lighting
Loud Noise
Short-term rental property complaints
Illegal Business
Abandoned House
Other (historic district concerns, murals, illegal signs, etc.)
Is this a paved or dirt/gravel road?
Paved
Dirt/Gravel
Approximately how large is the pothole?
Slice of pizza
Small pizza
Medium pizza
Large pizza
Extra large pizza or larger
What stretch of the street are you requesting service for?
What materials need to be swept?
Leaves or other organic matter
Litter and debris
Construction material
Ice melt material (salt, volcanic mix, etc.)
Glass
Other
Select all that apply
What is the issue with the traffic signal?
Flashing
Blacked out
Sensor request
Signal Response Time
Other
What type of traffic study?
Add additional Street Signage
Add cross walk
Request for speed bumps
What type of signage are you reporting?
No Parking Sign
Stop sign
Speed limit sign
Sharp turn sign
Yield Sign
Street Sign Name
City Trails Sign
Other
What type of striping are you requesting?
Crosswalk
Street arrows
Bike Lane
Standard road striping
Other
What is the street name you are requesting to be repaved?
What is wrong with the road / street?
A water leak occurred on my street and the road was never properly repaired
Cracks on my street
Other
What is the graffiti located on?
Is the property residential, commercial, or public?
Residential (house)
Commercial (business)
Public (street, median, arroyo, park, etc.)
What is the main type of item that make this property
Junk Vehicles
Litter and debris
Furniture
Construction materials and machinery
Other
The issues must be visible from the street
Are there other types of items that make this property
Junk Vehicles
Litter and debris
Weeds
Furniture
Construction materials and machinery
Other
What is the address of where the loud noise is coming from?
What is your address?
in order to complete a decibel reading, we need to go to your location to determine if the property in question is in violation
What kind of business is being ran out of this house?
What are the hours of operation?
Are there unsheltered individuals living in or on this property?
Yes
No
What is the issue you are reporting?
Shopping Carts
Construction Material
Furniture (couch, mattress, box springs, etc.)
Garbage Bags
Other
Is the property residential, commercial, public or Santa Fe River?
Residential (house)
Commercial (business)
Public (street, median, arroyo, park, etc.)
Santa Fe River
What is the issue you are reporting?
Missed trash or recycling pickup
Trash or recycling receptacle repair or replacement
Is this commercial or residential?
Commercial
Residential
Is this for trash or recycling?
Trash
Recycling
What is your normal day of service?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What date did you have your receptacles out for service?
What time did you have your receptacles out for service?
Hour
Minute
AM
PM
Is this for a dumpster or a cart repair?
Dumpster
Cart
Is it the lid, body or wheel that needs repair?
Lid
Body
Wheel
What is the serial number on the cart or dumpster?
Find the serial number on the cart or dumpster.
What is your account number?
Parks and Trails
Refill dog bags / request dog receptacle station
Overflowing trash cans
Broken equipment (playground, bench, etc.)
City Trail
City Park
City Dugout
What is the name of the Park where this dugout is located?
What is the name of the City Park?
Which trail is in need of service (trail name)?
Weeds
Weeds on medians
Weeds on private property
Weeds in park or playground
Weeds on the sidewalk - obstructing the walkway
Other
How tall are the weeds (estimate)?
Shorter than 12 inches (1 foot)
Taller than 12 inches (1 foot)
What is the name of the City Park?
Utilities
Fire Hydrant
Water Meter Cover/Sewer Manhole Cover
Brown Water
Water Leak
Other
What is the issue with the fire hydrant?
Leaking Fire Hydrant
Damaged Fire Hydrant
Missing Fire Hydrant
Weeds around the Fire Hydrant
Other
What is the fire hydrant number? (numbers are located in front of the hydrant)
Where is the cover located?
On the sidewalk
In the middle of the street
What is wrong with this cover?
It is missing
It is broken
It is not properly put into place
Other
City Buses
Encampment
Street lights
Abandoned vehicle
Other
Around what date did the incident occur?
Around what time did the incident occur?
Hour
Minute
AM
PM
What direction was the bus going?
North
South
East
West
What was the bus number?
What was the route number?
Is the Encampment Active or Abandoned?
Active
Abandoned
Where is the encampment located?
River
Arroyo
Park
Under bridge or overpass
Private Property
Other
How many people are at the encampment (estimate)?
0-5
6-10
More than 10
Can you identify any of the following at the encampment?
Tents
Sleeping bags or blankets
Trash
Needles
Other
Type of Street Light Post?
Wooden Post
Metal Post
Where is the vehicle located?
On the street
On private property
Is this a paved or dirt/gravel road?
Paved
Dirt or gravel
What stretch of the street are you requesting service for?
What stretch of the street are you requesting service for?
What is the graffiti located on?
What is the graffiti located on?
What is the graffiti located on?
Is the property residential, commercial, or public?
Residential (house)
Commercial (business)
Public (street, median, arroyo, park, etc.)
Is the property residential, commercial, or public?
Residential (house)
Commercial (business)
Public (street, median, arroyo, park, etc.)
Is the property residential, commercial, or public?
Residential (house)
Commercial (business)
Public (street, median, arroyo, park, etc.)
What is your physical address?
In order to process any outdoor lighting request, we have to know your address to conduct the inspection to determine if there are violations.
Location of Issue
What is the address where the issue is location?
Please describe the issue
Click here
to report a more accurate location
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Contact Information
Name
Please provide your phone number
We will only use your contact information if we need additional details about the reported issue.
Please provide your email address
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Are you an employee of the City of Santa Fe submitting on behalf of a constituent?
No
Yes
Employee Name
Department