2. Please fill out the following information to report a pothole, street, sidewalk, and/or Bruce Freeman Rail Trail issue in Concord.
4. Where is the pothole, street, sidewalk, and/or Bruce Freeman Rail Trail issue located?*
6. When did you notice this issue?
   When did you notice this issue?

   When did you notice this issue?
8. Please upload any additional files you feel might be useful.
10. Name
11. Email Address*
13. Address
15. City
16. State
17. Zip Code
19. Phone Number*
21. Thank you for reporting to us!
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