2. EMERGENCY ISSUES:
4. For emergencies involving water, waste water (sewer), street maintenance, or Town facilities and property, twenty-four hours a day, seven days a week, please call 540-338-7700 and a Loudoun County dispatcher will answer your call in order to notify the appropriate personnel.
6. For all other emergencies call 911.
8. Non-Emergency Issue Form
   For Non-Emergency Issues Related to Trash/Recycling and Special Pick Up, Utilities, Streets, Streetlights, Tall Grass, or other concerns, please fill out the following form:
10. Date: *
12. Name: *
14. Address: *
16. Contact Phone #: *
18. Email Address:
20. Choose the type of issue below. It will be routed to the correct staff based on the type of issue identified.*
    -- Select One --Street / Sidewalk / Right-of-Way IssueStreet Light IssueTrash/Recycling IssueSewer / Wastewater IssueTall Grass / Blighted PropertyTown Facility / PropertyWater IssueOther - Please provide details
22. Type of Street Light Issue*
    -- Select One --Light OutLight BlinkingLight On During DayPole DownOther
24. Pole Number
    Most Streetlights are located on a utility or other pole with identification numbers. Please provide the pole numbers if available and it is safe to do so.
26. Describe the Concern (if scheduling trash bulk pick up, please list the item(s): *
28. Location of Concern:
    (Use nearest physical address and be as specific as possible)*
30. All non-emergency concerns will be responded to as quickly as possible.
34. 
    
    If you have a picture, please submit it or any other documentation using the upload feature below. You can upload a maximum of 3 attachments.
36. Upload picture:
38. Upload picture:
40. Upload picture:
42. 
    
44. CALLING IN A CONCERN:

    You may also call-in non-emergency utility, street, sidewalk trash/recycling, and Town facility concerns during normal office hours (Monday through Friday from 8am to 5pm). Please call the Town Hall at (540) 338-7421.

    For POLICE non-emergency issues please call 540-338-7422.
46. POLICE/FIRE/RESCUE EMERGENCIES DIAL 911.
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

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