Home Road Safety - Hazard Report Form



































In order for LVBC to bring the road condition to the attention of the proper authorities, please fill in the following form as completely as you can. This form can be used by both LVBC members and non-members. If we need more information, we will contact you.




































ROAD SAFETY-HAZARD REPORT: ACTION NEEDED




































Date































Road Segment Numbers - little white signs on roadside of state roads































Identify the road/street

































Describe the road condition that needs action































Name


















When finished, PLEASE REVIEW YOUR INFORMATION, then click the submit button. Your computer will reload the home page when your submission has been accepted.


















Provide information to locate the road condition that needs action


















If it is a municipal road, which municipality


















E-mail













Describe the road condition that needs action












Phone











































 

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