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Citizen Request Form

Use this form to request or report the following: repair of street or potholes, reporting of hazardous sidewalk condition, street or gutter drainage problems, bike paths and catch basin stoppages, street sign issues, traffic signal outage, streetlight outage (provide streetlight pole number). Your name, telephone number, and e-mail address are not required, but are helpful should questions arise.
If this is a police or traffic related issue, call the Wall Township Police Department at 732-449-4500.
Reported location must be within the boundaries of Wall Township. The exact reported location/site address is required
Please use one form per request!
Contact Information
First Name
Last Name
Phone Number
Email Address *
Street Address:
Exact Location of Job Requested
Street Name, Address or Block Number*
Nearest Two Cross Streets
Nature of Request*

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