ServRequ.htm


		SERVICE REQUESTS
		This form was developed by the City of Pocatello so that citizens and visitors can submit requests for service related to City government. Please use this form to report potholes, property maintenance violations, broken sidewalks, missing street signs, etc. We ask that you complete all fields before submitting a request for service. This will allow us to contact you with a response or to request more information if necessary. However, you may also submit your request anonymously if you wish. *If you are requesting information, do not use this form.* Click here to request information or to send comments.
		Contact Information
		First Name
		Last Name

		Street Address
	Work Phone
	Home Phone
	E-Mail
		*Please enter the complete address* and/or location description of your request in the space below.**

		Please enter your request in the space below.

		Press the Submit button below when you are finished entering your request.

		Thank you for using this service. Please e-mail the webmaster with any questions or comments.

SERVICE REQUESTS