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2. The City of Wickliffe Report A Concern Form will help us identify an issue in our city. Should a concern require immediate attention, please call us at 440-943-7105. For an emergency, dial 911.

   Please fill out the form completely.  Thank you for your assistance in making Wickliffe a better place!

4. Contact Information
6. First Name*
7. Last Name*
9. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Phone Number*
18. Email Address*
20. Please indicate the nature of your problem by checking the appropriate box(es) below:
22. 1. Pothole
    2. Damaged curb
    3. Damaged sidewalk
    4. Street Lights
    5. Traffic/Road signs
    6. Traffic Signal
    7. Litter/Debris

    1. High Weeds/Grass over 8 inches
    2. Overhanging trees/shrubs on right-of-way
    3. Overhanging trees/shrubs on private property
    4. Water leaking on private property
    5. Water leaking on roadway
    6. Storm sewer leaking/blockage
    7. Loose/protruding manhole cover
24. Brief Description (or other problem not listed)
26. Location of Problem
28. Have a compliment or suggestion?

    We strive to make Wickliffe a better place.  If you have a suggestion or would like to offer a compliment, please fill in the box above!  

    Thank you for taking the time to let us know.  We will respond as soon as possible.

Leave This Blank:


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

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field