Citizen Information

First

Last

E-mail

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Cell Phone

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Home Phone

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Work Phone

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Best time to contact

Date

Time

If we have any questions regarding your inquiry, should we need to contact you, when would be a good time?

Please Select From The Following Options *

Employee
Feedback
Road
Concern
Property
Damage
Event
Feedback
Noise
Concern
Code
Enforcement
Animal
Concern
Snow
Removal
Other
Not Listed

Employee Feedback

Please Make a Selection *

Cudos
Complaint

Employee's Name (If known)

Give Us Your Feedback

Date & Time of the Incident

Date

Time

Please Describe the Incident

Road Concern

Road Condition Choices *

Road
Obstruction
Report a
Pothole
Traffic,
Sign or Signal
Bridge
Condition
Sign
Damage
Other
Not Listed

Enter the Nearest Establishment, Street, or Intersection

Please Describe Your Concern

Upload a Photo

Camera Preview

If it is safe to do so, please provide a photo of the concern. Photos help us better understand and respond to reported issues, but your safety and the safety of others should always come first. Never put yourself at risk to take a photograph.

What Was the Event?

Please Provide Positive Feedback or Constructive Criticism for a Recent Community Event

Property Damage

Please Select Damage Type

Mailbox
Damage
Fence
Damage
Yard
Damage
Garbage Can
Damage
Other
Not Listed

Is it Located at the Address Given at the Beginning of This Form?

Address

Address Line 1

Address Line 2

City

State

Zip Code

Please Provide Your Feedback

Camera

Camera Preview

Noise Concern

Please Provide a Quick Description

Address of Incident

Address Line 1

Address Line 2

City

State

Zip Code

Code Enforcement Concern

Select a Code Concern

Abandoned
Vehicle
Illegally Parked
Vehicle
No Building
Permit
Other

Address of Violation Concern

Address Line 1

Address Line 2

City

State

Zip Code

Animal Concern

Type of Animal Concern

Deceased Animal
Barking Dog
Loose Dog

Please Tell Us About Your Concern

Snow Removal

Please Select a Concern

Please Describe Your Concern

Thank you!

We sincerely appreciate you taking the time to share your feedback and concerns. Your voice plays an important role in helping us strengthen our community. By working together and listening to one another, we can continue making meaningful improvements that benefit everyone. Thank you for helping us build a safer, stronger, and more connected community.

Please note: Forms submitted through this website are designed to be responded to in 72 hours. If you need immediate support please call 911 for emergencies or (610) 377-1773 for non-emergency.

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The Poconos Start Here

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Employee Feedback

Road Concern

Property Damage

Noise Concern

Code Enforcement Concern

Animal Concern

Snow Removal

Thank you!

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