Use this form to request or report the following: repair of road or potholes, reporting of hazardous road condition, drainage problems, and road sign issues. Your name, telephone number, and e-mail address are not required, but are helpful should questions arise.

Reported location must be within the unincorporated area of Sumter County. The exact reported location/site address is required.

Please use one form per request!

Contact Information

Name:

Phone Number:

Street Address:

Email Address:

Exact Location of Job Requested

Road Name, Address or Block Number:*

Nearest Two Cross Roads:

Nature of Request:*