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Request Tracker Forms
City of Midland Street Construction Project Issues
Leave This Blank:
Purpose. This form is used to report safety concerns or other issues on a City of Midland street construction project.
First Name:
*
Last Name:
*
Email:
*
Daytime Phone:
*
Street:
City:
State / Province:
ZIP / Postal Code:
What street construction issue would you like to report?
*
Construction workers not working safe
Inappropriate conduct of construction workers
Unsafe construction zone
Traffic control problems
other
Please provide a detailed description of your concern to help identify the problem:
Please indicate the exact location where the situation was encountered:
* indicates required fields.
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