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2. First Name*
3. Last Name*
5. Email*
6. Phone Number*
8. Type of Problem*

   1. Dead Animals
   2. Drainage Issue
   3. Edge of Pavement Issue
   4. Pipes
   5. Potholes
   6. Other
9. Location of Problem*
11. Other Problem
13. Problem Description*
    Please be as descriptive and thorough as possible.
15. Disclaimer
    We normally respond to road maintenance requests within 1 to 7 work days. Hamilton County Highway does not maintain interstates, state highways, city or town streets. We will direct you to the appropriate agency if your request is regarding another agency's street, road or highway.
17. Destination

    Requests will be sent to the Government of Hamilton County Highway Department. For more information, please email the Highway Dept. or call Kylie Henson at 317-773-7770

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19. 1. Receive an email copy of this form.
20. Email address

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21. Submit

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