The purpose of this form is to inform the City of deep and hazardous potholes. Name (first & last) Address Nearest Pothole (house# & street name) Nearest Cross Street Estimated dimensions of pothole Pothole Issue - Select -Pothole is less than 2 inches in depthPothole is 2 inches or greater in depth Additional details This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Print