Service Request

[ { "displayName": "Violation Type", "type": "radio", "options": [ { "schemaName": "litter", "displayName": "Litter and Debris" }, { "schemaName": "trash", "displayName": "Bags of Trash" }, { "schemaName": "appliances", "displayName": "Appliances/Household Items" }, { "schemaName": "dumping", "displayName": "Uncontrolled Dumping" }, { "schemaName": "vehicle", "displayName": "Vehicle Parts" }, { "schemaName": "dumpster", "displayName": "Overflowing Dumpster" }, { "schemaName": "tires", "displayName": "Tires" }, { "schemaName": "other", "displayName": "Other" } ], "schemaName": "violationtype", "instructions": "", "help": "", "required": false }, { "displayName": "Location on Property", "type": "checkboxseries", "options": [ { "schemaName": "backofproperty", "displayName": "Back of Property" }, { "schemaName": "bythealley", "displayName": "By the Alley" }, { "schemaName": "entireproperty", "displayName": "Entire Property" }, { "schemaName": "frontofproperty", "displayName": "Front of Property" }, { "schemaName": "insidefenceline", "displayName": "Inside Fenceline" }, { "schemaName": "leftsideofproperty", "displayName": "Left Side of Property" }, { "schemaName": "rightsideofproperty", "displayName": "Right Side of Property" }, { "schemaName": "treelawn", "displayName": "Tree Lawn" } ], "schemaName": "locationonproperty", "instructions": "", "help": "", "required": false }, { "displayName": "What else should we know?", "type": "textarea", "schemaName": "whatelse", "instructions": "", "help": "", "required": false }, { "displayName": "Is the issue visible from the sidewalk or alley?", "type": "yesNo", "ifNo": [ { "displayName": "Is it visible only from your property?", "type": "yesNo", "ifYes": [ { "displayName": "Would you sign a waiver giving the Inspector permission to view the issue from your property?", "type": "yesNo", "ifYes": [ { "displayName": "If yes, please enter your address here:", "type": "textarea", "schemaName": "youraddress", "instructions": "", "help": "", "required": false } ], "ifNo": [ { "displayName": "The Inspector must be able to view the issue in order to address it.", "type": "layoutText", "schemaName": "layoutText", "instructions": "", "help": "", "required": false } ], "schemaName": "inspectorpermission", "instructions": "", "help": "", "required": false } ], "ifNo": [ { "displayName": "Where is the issue visible from?", "type": "textarea", "schemaName": "wherevisible", "instructions": "", "help": "", "required": false } ], "schemaName": "visibleonlyfromproperty", "instructions": "", "help": "", "required": false } ], "schemaName": "visiblesidewalkoralley", "instructions": "", "help": "", "required": false } ]

Litter Code Violation1/4

Location for Request

Search for an address, drag and drop the blue pin, or let the 311 Portal use your device's location.

Service Form

* = Required Field

Contact Information

Review Information

Contact Info

Service Info

Submit
« Previous
Next »