City Forms - Street Maintenance Job Request

Use this form to request the repair of potholes or uplifted sidewalks or weed abatement within the City of Santa Monica. Your name, daytime telephone number, and e-mail address are not required, but are helpful should questions arise. The exact job site address is required. Also, please indicate whether this is regarding a street pothole, alley pothole, uplifted sidewalk or weed abatement. Sorry, we are unable to service requests outside of the City of Santa Monica. For questions, please call 458-8504.

Please use one form per job request.

                  Name: 
                 Phone: 
        E-mail address:

Job Site Address:

Job Street Number: 
      Street Name: 
                   Santa Monica, CA

Job Description:

Street Pothole Alley Pothole Uplifted Sidewalk Weed Abatement

Additional Information (optional):

Please do not combine job requests on one form. Submit as many forms as necessary. Thank you.