Form Center

2. Use this form to submit questions, identify an issue, or report a concern. Your request will be reviewed by city Public Works staff during regular business hours.
   Issues may include: streets, including regulatory signage, and city infrastructure *Please contact Clark Public Utility District regarding street lights.
4. Submissions processed Monday-Friday, 8am-5pm only.
6. Contact Information
8. First Name*
9. Last Name*
11. Address1*
13. Address2
15. City*
16. State*
17. Zip*
19. Home Phone Number*
20. Cell Phone Number
22. Daytime Phone Number
23. Email Address*
25. Please Specify General Inquiry, Request for Service or Complaint*
27. Location of inquiry, request for service or complaint.
29. If you have a picture or document that might assist us with your request, you may upload it here.
Leave This Blank:


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

    This field is not part of the form submission.

33. Submit Submit and Print

* indicates a required field