City of Elkhart, Indiana

STOP! If this is a public safety issue, please call the Elkhart Police Department immediately at 295-7070 before filling out this request.

* Denotes Required Information

Contact Information
First Name	*
Last Name	*
Address	*
Address 2
ZIP Code	*	-
Telephone	*	- - ext.
Email	*
Today's Date	*	-- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ,
Problem Information
Sign Status	*	Damaged    Down    Missing    Graffiti    Other
Please be specific when providing problem information.
Sample		There is a damaged Stop sign at the northeast corner of Bristol and Cassopolis Streets.
Sample		There is a missing sign in front of 1010 Lilac St.
Problem Description	*