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Potholes Complaint Form

  1. Reported location must be within the Township of Clark. The exact reported location/site address is required. Once request is received by DPW you will receive an email confirming receipt of notification. Please note DPW will address the concerns as soon as possible.

  2. Please use one form per request!

  3. Contact Information

  4. Exact Location of Job Requested

  5. Leave This Blank:

  6. This field is not part of the form submission.