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Road Hazard Report Form

  1. The City of Galion Road Hazard Report Form will help us identify problems and get them resolved. Should a problem require urgent attention during business hours, please call 419-468-1857. For a police emergency, dial 911.
  2. Contact Information
    Please provide contact information if you would like a response from the City.
  3. Please indicate the nature of your problem by checking the appropriate box(es) below:
  4. Please provide closest address or nearest cross streets.
  5. If you have a picture of the problem, you may upload it here.
  6. Leave This Blank:

  7. This field is not part of the form submission.