CITY OF LAKE WALES - REPORT A POTHOLE

Use this form to report a pothole on a city street in Lake Wales.

Identify the location of the pothole on a street by: (a) providing names of nearest cross streets; or, (b) indicating location in relation to intersecting streets.

Subject:
Today's Date:
Name:
E-mail:
Location of Pothole (street name):
(a) nearest cross streets:
(b) at the intersection of:

NOTICE: Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public-records request, do not provide your e-mail address for reply purposes.


Additional Information:



| |