Citizen Request Form

If you live, work, or are just visiting in Plover, we encourage you to use this form if you would like to report a problem. The form is sent to the Village Office and they will contact the appropriate Village department to handle the problem.

We are committed in responding to our residents expediently.

Full name:

Address:
City/Town:	State: Post./Zip Code:

Your email address: (e.g.: you@aol.com)

Your company:

Your daytime phone number (area codes):

 Date & Time:

Please enter the date and time that the problem was noticed in the space below.

Date:
Time:

Location:

Please enter the location where the problem was noticed in the space below:

Please type location here. Thank you.

Problem noticed:

Please select the problem noticed from the list below:

Abandoned/Junk Vehicle On Village Street Dangerous Building/Structure Junk, Trash, or Rubbish on Property Junk Vehicle On Private Property Leaking Fire Hydrant Overgrown Property/Weeds Pothole Street Pavement Repair Street Light Out Traffic Control Sign (New Installation, Replacement) Visibility Obstruction Other

Details:

Please enter any further details you may have regarding the problem that will help us identify where the problem is located or why it might be occurring:

Please type details here. Thank you.

 

We greatly appreciate your help by sending us your comments on this form. Working together we can keep the Village of Plover in top condition!

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