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Survey/Form Review
Service Request Form
This request form is for non-emergency service requests only. This request will be reviewed during normal business hours. Questions 1 through 5 are required.
If you are reporting an urgent matter such as a water main break, fallen tree in the road, or traffic signal outage, and it is after normal business hours, you may call Public Works at (858) 668-4751. For information regarding our business hours, please visit our website at www.poway.org/hours.
1. What type of Service are you looking for?*

 
2. Location/Cross Street
Provide cross streets or address
3. Brief description of problem
Enter a description of the problem
4. Email address: *
(We may contact you if we have questions. Your email address will not be shared or sold by the City of Poway).
5. Each request is reviewed and handled by staff. Please indicate if you would like staff to contact you with details/status of this request.*
6. This contact information is important to us in order to adequately follow-up your request although it is optional.
First Name
Last Name
Address
City / Town
State
Zip Code
Phone