Fix It Form

2. The City of Gilbert FixiT Form will help us identify a problem in your area. Should a problem require urgent attention, please call us immediately at (515) 233-2670. For a police emergency, dial 911.
   Thank you for your assistance!

   Thank you for your assistance!

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. Weeds
    4. Dogs barking
    5. Abandoned vehicles
    6. Water leaking

    1. Litter
    2. Road striping
    3. Street Lights
    4. Damaged sidewalk
    5. Traffic/Road signs
    6. Noise nuisance

    1. Hazardous parking
    2. Storm sewer leaking/blockage
    3. Water leaking on roadway
    4. Loose/protruding manhole cover
    5. Other
24. Brief Description (or other problem not listed)

26. Location of Problem

28. Image upload

    If possible, provide an image of reported concern.

Leave This Blank:


30. Submit Submit and Print

* indicates a required field