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Other Street Issues

Complete this form to report any other related street issue.

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:

Location of Concern:

Direction:

North

South

West

East

Description of Concern:

Upload a Photo: (If applicable)

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Request for follow up?

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

NO, I just want to report the concern.

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Other Street Issues

Thank you for sharing your concern.