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Fix It Form For Training

  1. Instructions

    This is an example of where your would list out in detail your instructions for filling out the form

  2. The City of (Your City) 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 (XXX) XXX-XXXX.

    Thank you for your assistance!

  3. Contact Information

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

  5. Leave This Blank:

  6. This field is not part of the form submission.