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2. The Town of Orange FixiT Form will help us identify a problem in your area -- and fix it fast. Should a problem require urgent attention, please call us immediately. For a police emergency, dial 911. Otherwise, call the Highway Department at 978-544-1111.

   Thank you for your assistance!

4. Date and Time of Issue*
   Date and Time of Issue

   Date and Time of Issue
6. Full Name*
7. Address1*
8. Phone Number*
9. Email Address
11. Location of Problem*
13. Please indicate the nature of your problem by checking the appropriate box(es) below:
15. 1. Pothole
    2. Loose/protruding manhole cover
    3. Damaged curb
    4. Street Lights
    5. Traffic signals
    6. Downed tree

    1. Abandoned vehicles
    2. Dead animal in roadway
    3. Storm sewer leaking/blockage
    4. Water leaking on roadway
    5. Trash or Debris in the roadway
17. Brief Description (or other problem not listed)*
19. Upload photo
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit Submit and Print

* indicates a required field