(*) = Indicates required field


Type of Repair:(*)
Please tell us the type of repair you are reporting

If a sidewalk repair, what is the nature of the problem?
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What is the exact Street Name of repair? (*)
Please choose one

If you do NOT see your street/road listed, it is a NC DOT maintained street. Please call the NC DOT Division Office at 336-903-9229 or 919-715-7000 or report online at NC Dept. of Transportation.
What is the nearest house or business number?
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What is the nearest landmark or business of repair?
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Any other comments?
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Name of person reporting:(*)
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Preferred Contact Method?(*)
Please make a selection for preferred contact method.

Telephone/Cell #:(*)
Please enter your telephone number where we can reach you

E-mail address:(*)
Please enter a correct email address.

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