Fix It Form

2. The Town of Portsmouth FixiT Form will help us identify a problem in your area -- and fix it fast. Should a problem require urgent attention, please call us immediately. If this is an emergency, dial 911. Otherwise, call (401) 683-3255.

   Thank you for your assistance!

   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:

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

    1. Overhanging Tees/Shrubs
    2. Abandoned vehicles
    3. Traffic signals
    4. Traffic/Road signs
    5. Noise nuisance
    6. Dogs barking
    7. Stray domestic animal

    1. Dead or threatening non-domestic animal
    2. Plowing issue
    3. Transfer Station Issues
    4. Beach or Parks Issue
    5. Storm sewer leaking/blockage
    6. Septic Tank or Wastwater Issue
    7. Other (Describe below)
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. Town Actions
    
    Please sign-in to the PortsmouthRI.com Civic Plus site ( Modules, "Form Center", "Concern, Comment, Complement", "Fix-it Form") to comment or complete the action.
    
    

    The following Town Actions Were Taken

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

    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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31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit Submit and Print

* indicates a required field