Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Street Resurfacing Request


  1. 1. Disclaimer
  2. 2. Resurface Request Location
  3. 3. Contact Information
  4. 4. Neighborhood Opinion
  • Disclaimer

    1. The purpose of this form is to make the City aware of your desire to have a street resurfaced. Submitting this form does not prioritize the street for resurfacing or guarantee when it will be resurfaced in the future.

    2. This form is to submit a request for street resurfacing of an entire block or blocks. To report a pothole or other small location in need of immediate repair, please call City Hall at 626-285-7187.