Pico Rivera Public Works Department
SERVICE REQUEST FORM

Please use one form per service request or comment. You must provide information for all fields.

If you have any other questions or would like to know the status of your request, you may call Public Works at (562) 801-4415. Thank you.

* Fields Required for form to be submitted.
  CONTACT
*Name :
*Mailing Address:
*Phone:
(Best number to reach you)
*Email:
(ie. name@address.com)

  COMMENT, QUESTION, or JOB REQUEST
Subject:
Graffiti
Street Trees
Street/Alley
Inoperable Vehicle
Traffic/Signs
Sidewalk/Curb
Street Light
Street Sweeping
Other (please specify) :
 
 
Street Address:
Nearest Cross Street:
Additional Information:
(A detailed description or information about your question or service request will facilitate the department's action)