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    Location
    Please enter the problem location as either an Address or Intersection. If it is an Intersection both Street and Cross Street are required.

 Address:
    Intersection:  
 Street
 Cross Street
    Description

     TS004 : Traffic Signals-Sign Malfunction
  Please describe the problem you have noticed. 
  What direction is the sign facing? 
  What kind of sign is it? 
       
     
    


    Contact Information
  Please provide so we may contact you if we need clarification of this service request.
 Name
    Address
    City/State/Zip    
Phone
    Email

    Addtional Comments
   Please include any other information you would like to give us concerning this request.