CITY OF PEORIA, AZ
Street Repair
Request Form
Please complete the following fields and press the Submit button at the bottom of the page to process your service request. Your request will be addressed and processed as soon as possible by the Streets Administration staff. Please submit one form per request.
Contact Information:
First Name:        
Last Name:         

Contact Phone:  

Email:                  
If you do not have e-mail, leave 'none'.

City:                      
Service Request Selection:
Storm water (drain cleaning)
Street Maintenance (road repair)
Street Lights (Outage) 
     Pole Number 
Street Signs and Striping
Street Sweep
Traffic Signal Light
Service Location:
Street Address:
 
Major Cross Streets:
  and  
Additional Comments:
 
For more information, please contact our Administrative Office at 623-773-7456. (Normal hours of operation are Monday through Friday from 8:00 a.m. to 5:00 p.m.) To report street-related emergencies after business hours, please contact the Peoria Police Department at 623-773-8311.