Form Center

Road Maintenance Request

3. 
5. Please indicate the issue you wish to report.*

   1. Pothole
   2. Gravel Road Maintenance
   3. Right-of-Way Weeding
   4. General Road Maintenance
   5. Other
7. Location of Request*

   1. Pahrump
   2. Tonopah
   3. Amargosa Valley
   4. Beatty
   5. Round Mountain
   6. Gabbs
   7. Manhattan
   8. Other
8. Describe the issue*
   Please describe as close as possible where the issue is on or along the road.
9. Submit a Photo
   Please feel free to submit photos of the issue
11. First Name
12. Last Name
14. Address1
16. Town
17. State
18. Zip
20. Email
21. Phone
    Please include phone number if in the issue is in the northern areas of the county.
Leave This Blank:


23. Submit

* indicates a required field