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Controlled Traffic Signal & Pedestrian Signal Concern

Complete this form to submit traffic light or pedestrian signal concern.

Your personal information is being collected under the authority of section 25 of the Local Authority Freedom of Information and Protection of Privacy Act. This information will only be used to administer the program/activity it was collected for. If you have any questions about the collection please contact the Office of the City Clerk at 780-875-6184 or email cityclerk@lloydminster.ca

Name:

Address:

City:

Province:

Contact Number:

Email:

Concern Information

Please select your concern:

Traffic Light Concern

Pedestrian Signal Concern

Pole

Direction of Traffic:

North Bound

South Bound

West Bound

East Bound

Reason of Request:

Burnt Out Bulb

On Flash

Not Working

Other

Description of Concern

Upload Photo: (If applicable)

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Request for Follow up?

YES, I would like to be contacted regarding my concern.

NO, I just want to report the concern.

Forms

Controlled Traffic Signal & Pedestrian Signal Concern

Thank you for sharing your concern.