Home City Gov't Departments Public Works Streets Street/Pothole Repair Request Form      

This form is intended to be used by the public as an easy way of submitting a Pothole Repair Request / Street Services Request electronically. Please complete the items below and select submit.

If this is an emergency, please call us at (651) 458-2808. You must be using a forms-capable web browser to be able to submit your comments.

If your browser does not allow you to submit forms, please email your request to info@cottage-grove.org.

*Fields in Red are required.
Contact Information:
Name:
Address:
Phone:
Email:
Type of problem (Please select one of the following)
Pothole or Request for Street Repairs   Street Needs Resurfacing   Tree Needs Trimming   Tree or Branch Fell in Street   Street Needs Sweeping   Object or Debris in Street   Broken or Damaged Sidewalk   Sidewalk Obstruction   Problem with or on Median Island   Damaged Guardrails   Other
Enter Problem Description Below:
Enter Address of the Problem Below:
Please enter the verification code in the field below.
*Press submit to send your request to the City of Cottage Grove Public Works Department.