In order to help the Town of Palmer organize the many incoming requests, please use this form to report your problem in detail.

Note: An asterisk (*) denotes a required field.
City, State, Zip:
Please use the next few fields to identify the problem or nature of your request.
*Problem Type:
Nearest Intersection:
*Please explain the problem in more detail:
*When did this problem begin?:
*What time of day does it occur?:
Any further comments about the problem:
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