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2. The Report a Concern Form allows the residents to report a problem so it can be addressed appropriately and quickly.

   PLEASE DO NOT USE THIS FORM FOR URGENT MATTERS!  

   - If you need immediate assistance, please call the Borough at 908-276-9090.  

   - For Police emergencies, dial 9-1-1.

   Disclaimer: The information to be submitted on this form will be sent via email. To protect sensitive information and comply with applicable data security requirements, do not request sensitive personal information, included but not limited to: Social Security numbers, driver's license numbers, medical information, passport numbers, passwords, tax ID number, or financial information of any kind, including, without limitation, bank account information, routing numbers, credit card number. If you intend to collect sensitive information, please reach out to your account manager to discuss CivicPlus’s secure form offerings.

   IN ORDER TO MAINTAIN COMPLIANCE WITH DATA SECURITY REQUIREMENTS, CIVICPLUS MAY, AT ANY TIME AND IN ITS SOLE DISCRETION, UNPUBLISH ANY FORM THAT SOLICITS SENSITIVE INFORMATION WITH OR WITHOUT NOTICE TO YOU.

4. First Name*
5. Last Name*
7. Address
9. City
10. State
11. Zip Code
13. Phone Number*
14. Email Address*
16. My Issue is Related to:*

    Please indicate the nature of your concern so it can be directed to the appropriate department.

    1. Pothole
    2. Damaged Curb
    3. Traffic Signals
    4. Road / Traffic Signs

    1. Street Lights
    2. Blocked Sewer/Storm Drain
    3. Litter
    4. Hazardous Parking

    1. Vandalism Complaint
    2. Trees
    3. Other
18. Location of Problem*
20. Description of Concern - Please be as descriptive as possible.*
22. Picture

    If you would like to upload a picture related to your concern, please do so here.

Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

* indicates a required field