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2. 
4. The City of Monticello Report a Concern 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 (217)762-2583.
   Thank you for your assistance!
6. Please note: The name of person submitting this information and content of this form are subject to public release under the Freedom of Information Act.
8. Contact Information
10. First Name*
11. Last Name*
13. Address1*
15. Address2
17. City*
18. State*
19. Zip*
21. Phone Number*
22. Email Address*
24. Please indicate the nature of your problem by checking the appropriate box(es) below:
26. 1. Pothole
    2. Damaged curb
    3. Damaged sidewalk
    4. Tall grass/weeds
    5. Dogs barking
    6. Abandoned vehicles
    7. Streetlight Out

    1. Water leaking
    2. Blocked drainage channel
    3. Traffic/Road signs missing
    4. Overhanging trees/shrubs
    5. Noise nuisance
    6. Hazardous parking
    7. Storm sewer leaking/blockage

    1. Water leaking on roadway
    2. Loose/protruding manhole cover
    3. Unsafe Living Conditions
    4. Garbage accumulation
    5. Sanitary Sewer Problems
    6. Other
28. Brief Description (or other problem not listed)
30. Location of Problem*
32. Would you like a followup regarding your concern?*

    1. Yes
    2. No
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit Submit and Print

* indicates a required field