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2. Please Read:

   If you have a problem or concern you’d like to report to the City of Melissa, please complete the form below. Select the category that best matches your concern, and include a brief description along with the location of the issue. Please ensure that you include your name, address, and daytime phone number so we can follow up if necessary.

   Your report will be routed to the appropriate department, and you should receive a response within one business day. The City of Melissa is only able to respond to issues located within our city limits. If the issue you are reporting is outside the city limits of Melissa, please contact the appropriate agency.

   For after-hours emergencies related to City services, please call Public Works at 972-837-4222.

4. Public Works Related Concerns

   Indicate the problem by checking the appropriate box:

   1. Pothole / Street Condition
   2. Damaged Curb / Sidewalk
   3. Road Signs
   4. School Zone Signs
   5. Street Debris
   6. Loose / Protruding Manhole Cover

   1. Sewer Leaking / Blockage
   2. Water Leaking
   3. Drainage Problem
   4. Storm Sewer Problems
   5. Graffiti
6. Police Department Related Concerns

   Indicate the problem by checking the appropriate box
   *For all Police and Fire-related emergencies, please dial 911.

   1. Illegally Parked Vehicles
   2. Abandoned Vehicles
   3. Litter / Illegal Dumping

   1. Speeding
   2. Noise Nuisance
   3. Unlicensed Vehicles
8. Code Enforcement Related Concerns

   Indicate the problem by checking the appropriate box

   1. Code Enforcement Issue
   2. Overhanging Trees / Shrubs

   1. Weeds / Tall Grass
10. Parks Related Concerns

    Indicate the problem by checking the appropriate box

    1. Parks / Playgrounds

    1. Bathroom Concern
14. Brief Description / Additional Information
16. Location of problem / concern*

    Give the closest location to concern

20. Name*
22. Address*
24. Email Address*
25. Phone Number*
27. Upload an image
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30. Email address

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