Lake Elsinore

October 6, 2008

Online Maintenance Form

INSTRUCTIONS
Use this form to request public works services, graffiti removal, street repairs or other maintenance items that require attention. Just type in the spaces below to complete the form, then click on the submit button to send.

If your request is an emergency please call (951) 674-5170, Monday through Thursday 9 A.M. to 4 P.M., or after hours call (800) 950-2444. If you are reporting a water or sewer problem, please call Elsinore Valley Municipal Water District at (951) 674-3146. Thank you.

Please enter the date and time the problem was noticed

Date: Time:

Please enter the location where the problem was noticed

Address:
Street Name:
Cross Street:

Please describe the problem you are reporting:

Because additional information may be needed in connection with your request, please provide the following information for City use only.

Name:
Telephone:
* Email:

* This field must be filled-in to submit