City of East Liverpool Ohio 43920

CITY LINKS

City reporting and request form

CONTACT INFORMATION

Note that fields marked with an * are required. Please use this form to report safety issues within city limits.

PROBLEM TYPE / LOCATION / DESCRIPTION

Problem *

Severity (Scale 1 - 10) *

10 is most severe, 1 is least severe

Problem Location *

Description *

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REPORTEE INFO

First Name

Last

Address

City

State / Province

Zip/Postal Code

Email Address

Phone Number

HUMAN VERIFICATION * - Verifies that you are a real person submitting the form.

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