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Name (first and last)**
Address**
Telephone #**
E-mail Address**
Problem (please select)**
Location of Problem-House Number**
Location of Problem-Street Name**
Additional Information and Comments*
Service Request Status (For Office Use Only*
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Do NOT use this service request system for immediate, emergency assistance. For a Police, Fire, Medical or Traffic emergency please call 911. If you have a water, sewer, street, roadway, refuse or other Public Works emergency during normal business hours please contact Public Works Services at (410) 263-7967. At all other times please call the City Water Plant at 410-224-2140 for 24-Hour Emergency Assistance. Please select a Service Request from the drop down list above.