2. This form is for reporting a dead animal in the roadway or drainage issue.
   To report a pothole, please use our Suffolk Citizen Connection portal: http://www.suffolkva.us/suffolkcitizenconnections
4. Maintenance Concern*

   1. Dead Animal
   2. Drainage Issue
   3. Other Issue
6. Contact Name
7. Contact Phone Number
9. Contact Email*
10. Confirm Contact Email*
12. Location of Issue Being Reported
14. Brief Description of Issue and Specifics
Leave This Blank:


16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field