Fix It Form

2. The City of Roseville Fix It Form helps us identify a problem in your area.
   
   If a problem requires urgent attention, please call us immediately. During business hours call 651-792-7000. After hours call 651-767-0640. For police or fire emergency, dial 9-1-1.
4. Got a problem? Fill out this "Fix It Form" and hit submit. We will do the rest!
6. Contact Information
8. First Name*
9. Last Name*
11. Address 1*
13. Address 2
15. City
16. State
17. Zip Code
19. Home or Cell Phone Number*
20. Email Address
22. Please indicate the nature of your problem by checking the appropriate box(es) below:*

    1. City Street Repair*
    2. County Street Repair*
    3. Water Leak
    4. Boulevard Tree Concern
    5. Street Lights
    6. Street Signs

    1. Sidewalk/Pathway Issue
    2. Overhanging Trees/Shrubs
    3. Abandoned Vehicle
    4. Storm Water Drainage
    5. Traffic Signal
    6. Street Snow/Ice Removal

    1. Pathway Snow Removal
    2. Dead Animal in Street
    3. Intersection Visibility
    4. Road Construction
    5. Other
24. *Some roads in Roseville are maintained by Ramsey County. View a map of the road jurisdictions.
26. City/County Streets Map
28. Location of Problem*
30. Brief Description (or other problem not listed)
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

* indicates a required field