Pierce County Public Works Department

Request For Action

This form is not intended for urgent service requests. If this is a life-threatening emergency please dial 9-1-1. If immediate attention is required please call our 24-hour service line at (253) 798-6000.
Your Information ( required *)
Name:
*Phone: ex. (253) 555-5555
Alternate Phone: ex. (253) 555-5555
Address:
City:
State:
Zip:
E-mail:
Site Information
Same As Originator
Parcel Number:
*Site Address:
Cross Street:
*City:
State:
Zip:
*Proximity to the Road:
Problem

*Please select problem type.

Additional Info:
Would you like to be contacted reqarding this concern?