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2. Fix it Form
   
   
   <strong>If this is an emergency, dial 911. <br><br>The Fix-it Form is NOT for emergencies. <br><br>Also, for urgent, but not emergency, issues, you can always call Police Dispatch (401-683-0300) or Fire Dispatch (401-683-1200). </strong><br><br>The Town of Portsmouth <strong>Fix It Form</strong> will help us identify a problem in your area -- and fix it fast. Should a problem require urgent attention during business hours, call us immediately at 401-643-0499. <br> <br>Thank you for your assistance!

   If this is an emergency, dial 911.
   
   The Fix-it Form is NOT for emergencies.
   
   Also, for urgent, but not emergency, issues, you can always call Police Dispatch (401-683-0300) or Fire Dispatch (401-683-1200).
   
   The Town of Portsmouth Fix It Form will help us identify a problem in your area -- and fix it fast. Should a problem require urgent attention during business hours, call us immediately at 401-643-0499.
   
   Thank you for your assistance!

4. Contact Information

6. First Name*

7. Last Name*

9. Address1*

11. Address2

13. City*

14. State*

15. Zip*

17. Phone Number*

18. Email Address*

20. Please indicate the nature of your problem by checking the appropriate box(es) below:
    <br><b>FOR PROBLEM THAT NEEDS IMMEDIATE ATTENTION </b>Refer to Emergency Contacts above. <br><br> <br><b>SHORT-TERM RENTAL ISSUE? </b>If you have a short-term rental issue, please call the 24/7 hotline at (401) 336-5552 or visit the <a href="https://safe.hostcompliance.com/tips/route">Host Compliance Hotline Web (https://safe.hostcompliance.com/tips/route).</a> <br><br> For Short-Term Rental info please go to the <a href="http://www.portsmouthri.com/1558/Short-term-Rental-Information" > Portsmouth Town Clerk Web Page.</a>.

    
    FOR PROBLEM THAT NEEDS IMMEDIATE ATTENTION Refer to Emergency Contacts above.
    
    
    SHORT-TERM RENTAL ISSUE? If you have a short-term rental issue, please call the 24/7 hotline at (401) 336-5552 or visit the Host Compliance Hotline Web (https://safe.hostcompliance.com/tips/route).
    
    For Short-Term Rental info please go to the Portsmouth Town Clerk Web Page..

22. 1. Hazardous Material or Chemical Discharge
    2. Pothole or other road damage
    3. Other Road Issue (Striping, etc.)
    4. Damaged curb or sidewalk
    5. ADA complaint
    6. Blocked drainage channel
    7. Weeds or other grounds issues
    8. Overhanging Trees/Shrubs

    1. Abandoned vehicles
    2. Traffic signals
    3. Traffic/Road signs
    4. Noise nuisance (Call Police Dispatch 683-0300 or dispatch@portsmouthri.com)
    5. Dogs barking (Call Police Dispatch 683-0300 or dispatch@portsmouthri.com)
    6. Stray animal (Call Police Dispatch 683-0300, or dispatch@portsmouthri.com)
    7. Dead animal

    1. Plowing issue
    2. Transfer Station / Recycling Issues
    3. Beach or Parks Issue
    4. Storm drain leaking/blockage
    5. Septic Tank or Wastewater Issue
    6. Other (Describe below)
    7. Short-Term Rental Issue. Call Hotline (401) 336-5552 or go online https://safe.hostcompliance.com/tips/route
24. Brief Description (or other problem not listed)

26. Location of Problem. Please include address or be as exact as possible in providing location.

28. Documents and/or photos

    Browse your computer to select items (documents, photos, etc.) to attach to this request.

30. Town Only Action Below
    <b>Town action codes ONLY: </b>Log on to www.PortsmouthRI.com and please sign-in to CivicPlus ("Modules" > "Form Center" >"Concern, Comment, Compliment" > "Fix-it Form" > "Action" >"View Submissions" > (Click on submission of interest) > "Modify")

    Town action codes ONLY: Log on to www.PortsmouthRI.com and please sign-in to CivicPlus ("Modules" > "Form Center" >"Concern, Comment, Compliment" > "Fix-it Form" > "Action" >"View Submissions" > (Click on submission of interest) > "Modify")

32. Town Actions
    
    Note Completion or additional action required.
    
    

    The following town actions were taken/ or required

    1. Action Complete
    2. Other Action Required
34. Describe Actions Taken or Other Actions Required

    PLEASE BE SURE TO SAVE --- AFTER MAKING YOUR ENTRY, BE SURE TO CLICK ON "SAVE" AT THE UPPPER RIGHT OF THE SCREEN TO SAVE YOUR COMMENTS.

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36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit Submit and Print

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