Report a Concern

2. Report a Concern
   This form is only used for non-emergency issues within the City of Ferguson. Please fill in any information the applies to your concern/complaint.

   This form is only used for non-emergency issues within the City of Ferguson. Please fill in any information the applies to your concern/complaint.

3. 

5. Type of Concern*

   Choose the option the best describes your type of concern. If it is not listed, choose other and explain within your description below.

   1. Pothole
   2. Street Light Outage
   3. Code Violation - Commercial
   4. Code Violation - Residential
   5. Vacant Property (derelict home)
   6. Park Maintenance Issue

   1. High Grass
   2. Graffiti
   3. Missing Street Sign
   4. City Property Maintenance
   5. Other
7. Location of Concern

   What is the address related to your concern?

9. City

10. State

11. Zip

13. Please describe your concern with as much detail as possible*

15. Would you like to be contacted regarding this concern?*

    Check yes if you would like our staff to follow-up with you. Check no if you do not wish to be contacted.

    1. Yes
    2. No
17. Your Name

18. Phone Number

19. Email Address

Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit Submit and Print

* indicates a required field