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Report a Concern

2. The Borough of Milltown Report a Concern Form will help us identify a problem in your area -- and fix it fast. Should a problem require urgent attention, please call us immediately at 732-828-2100 ext. 181. For a police emergency, dial 911.

   Thank you for your assistance!

   Thank you for your assistance!

4. Contact Information

6. First Name*

7. Last Name*

9. Address1*

11. Address2

13. City*

14. State*

15. Zip*

17. Phone Number*

18. Email Address*

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

22. 1. Pothole
    2. Traffic signals
    3. Property Maintenance Issues
    4. Abandoned vehicles
    5. Chemical discharge
    6. Road striping
    7. Blocked drainage channel
    8. Street Lights

    1. Traffic/Road signs
    2. Hazardous parking
    3. Storm sewer leaking/blockage
    4. Loose/protruding manhole cover
    5. Water Quality Concerns
    6. Sanitary Sewer Concerns
    7. Electrical Power Concerns
24. Brief Description (or other problem not listed)

26. Location

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

* indicates a required field