Fix It Form

1. The City of Des Moines FixiT Form will help us identify a problem in your area -- and fix it fast. Should a problem require urgent attention, please call us immediately. For a police emergency, dial 911. Otherwise, call (206) 878-4595.
   Thank you for your assistance!

   Thank you for your assistance!

2. Contact Information

3. First Name*

4. Last Name*

5. Address1*

6. Address2

7. City*

8. State*

9. Zip*

10. Phone Number*

11. Email Address*

12. Please indicate the nature of your problem by checking the appropriate box(es) below:

13. 1. Pothole
    2. Damaged curb
    3. Traffic signals
    4. Weeds
    5. Dogs barking
    6. Abandoned vehicles
    7. Chemical discharge

    1. Water leaking
    2. Litter
    3. Road striping
    4. ADA Complaint
    5. Blocked drainage channel
    6. Damaged sidewalk
    7. Traffic/Road signs

    1. Overhanging trees/shrubs
    2. Noise nuisance
    3. Hazardous parking
    4. Storm sewer leaking/blockage
    5. Water leaking on roadway
    6. Loose/protruding manhole cover
14. Reporting a Street Light outage.
    Go to the website www.intolight.com and click on "Lights Out?". If you do not have access to the Internet, you may contact them at 1-877-229-1235.

    Go to the website www.intolight.com and click on "Lights Out?". If you do not have access to the Internet, you may contact them at 1-877-229-1235.

15. Brief Description (or other problem not listed)

16. Location of Problem

Leave This Blank:


17. 1. Receive email copy
18. Email address

19. Submit

* indicates a required field