Complaint Form for Red Lion Borough Residents ONLY
Street Problems

Your e-mail address:                   
     (required)

Type of problem you want to report:
Pot Hole
Drainage problem
Problem with trees
Street sweeping issue
Hazard (ice, debris, etc.)
Dangerous sidewalk or obstructed by weeds
Other

Location of problem: 
(street address or block)

Cross streets or landmark: 

Additional information to help us understand the problem:

OPTIONAL INFORMATION:

Your name and address are optional and used only to reply to your concerns.

Title:  Mr. Mrs. Ms.      First Name:       Last Name: 

Address: 

City:       State:       Zip Code: 

Daytime Phone Number:      
(xxx-xxx-xxxx)

Evening phone number:            
(xxx-xxx-xxxx)