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01 Report Type

New Report First time flagging this Addendum Adding to an existing report

02 Type of Issue

Graffiti Trash / Dumping Hazard Needles / Sharps Vandalism Other

03 Location

LAT —

LNG —

Nearest Intersection or Address GPS coordinates are captured automatically above — this helps us double-check

04 Photo

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05 Notes

Description

Severity

06 Your Details (optional — helps us follow up)

Name

Phone

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Report Submitted!