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2. The City of Imperial Beach does not respond to anonymous service requests. All requestor information will be kept confidential. City Officials will not take action regarding online service requests until the identity of the requestor is verified. Please provide current and correct contact information to assist City Officials in confirming your identity.

6. First Name*
7. Last Name*
9. Phone Number*
10. Email*
12. Report Category / Type
    -- Select One --GraffitiPotholeTreeIllegal DumpingStreet LightSidewalkOther
13. Report Subcategory
    -- Select One --1234567
15. Describe the issue in detail*
17. Issue Location/Address*
19. City
20. State
21. Zip Code
23. Please upload any photos
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field