How to use this form: Use this form to report a non-urgent road or park concern in unincorporated parts of Clark County, Washington. Not sure if you’re in unincorporated county? Use this map to find out. Examples of non-urgent concerns that should be reported using this form: potholes, roadside dumping, broken road signs, park benches in need of repair, vegetation overgrowing trails, etc. Staff receive and process submissions to this form between 6:30 a.m. and 5 p.m., Monday through Friday, excluding holidays. You can submit a concern anonymously, however if we are unable to locate the concern and you do not provide contact information, we will be unable to respond to the reported issue. Public Works does not release identifying information from form submissions unless required to do so via an official public records request. Important disclosure information can be found at the end of this form. Examples of non-urgent concerns that should be reported using this form: potholes, roadside dumping, broken road signs, park benches in need of repair, vegetation overgrowing trails, graffiti, etc. DO NOT use this form to report: Problems that require an immediate response. For urgent problems, please call 564.397.2446. Urgent problems include flooding or downed trees on county roads, etc. Use this phone number to report urgent issues any time, including during business hours, after hours, on weekends or holidays. Life-threatening emergencies. Always call 911 immediately for medical, fire or other life-threatening emergencies. Off-leash or aggressive dogs in county parks. To report off-leash or aggressive dogs, call Clark County Animal Control at 564.397.2488, 8:30 a.m. to 4:30 p.m. Monday through Friday, excluding holidays. Outside of business hours, call 311. To report power outages, issues in incorporated areas (cities), hazards on state highways, etc., For more information, click here. person Personal Information First Name Last Name Email Address Phone Number pi_address Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP build Maintenance Request Information Site Address Cross Street Type of Maintenance Type of Maintenance - None -PotholeSidewalk/CurbGravel RoadShoulder MaintenanceVegetationSnow/IceDrainage OpenDrainage ClosedBridge MaintenanceTraffic ControlNon-domestic Dead AnimalOther… Enter other… Please explain the type of maintenance in more detail Important disclosure information: Clark County may be required to release your name and/or information submitted in this complaint pursuant to public disclosure (RCW 42.56) and/or pursuant to court order. This means that anyone can request the release of documents containing your name and contact information through an official public records request. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
