Form Center

2. The Nassau County Road and Bridge Dept Maintenance Form will help us identify a problem in your area -- and fix it fast. Should a problem require urgent attention, please call us immediately. For a police emergency, dial 911. Otherwise, call (877) 588-6860.
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6. Got a problem?
   Here's the way to get it fixed.
   Help us to help you -- use this "Fix It" form.
   Fill it in -- Send it in
   We will do the rest!
   
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10. Thank you for your assistance!
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14. Contact Information
16. Your Name:
18. Your Address:
20. Phone Number:*
22. Email Address:
24. Please answer the question
26. *

    1. Pothole
    2. Damaged curb
    3. Traffic signals
    4. Weeds
    5. Abandoned vehicles
    6. Chemical discharge
    7. Litter
    8. Road striping
    9. Blocked drainage channel
    10. Street Lights
    11. Damaged sidewalk
    12. Traffic/Road signs
    13. Overhanging trees/shrubs
    14. Noise nuisance
    15. Hazardous parking
    16. Storm sewer leaking/blockage
    17. Water leaking on roadway
    18. Loose/protruding manhole cover
    19. Road Condition/Other Roadway Problems
28. Brief Description (or other problem not listed)
30. Location of Problem
Leave This Blank:


32. Submit

* indicates a required field