Service Request Form This field is hidden when viewing the formTitleThis field is hidden when viewing the formStatusNewOpenIn ProgressClosedOn HoldWelcome to the City of Rockland’s “Report it, Fix it” portal. To report an issue to the City’s Public Services department, please... Use the drop-down menu to choose the issue type Enter a description of the issue Use the map to enter the location of the issue. You may also upload an image of the issue. We will update you via email when the status is changed. Thank you! Issue TypeAbandoned BicycleAbandoned VehicleAccidentBarricade RequestBrook/StreamDead AnimalFloodingGraffitiIllegal DumpingOtherParks and PlaygroundsPlowingPortable Stop Sign RequestPotholePrivate Property IssueProperty/Camp Clean upRoad RepairRoad/Street Clean upSewerSidewalk DamageSidewalk RepairSink HoleSnowplow DamageStorm Clean upStorm DamageStorm DrainStormwater WorkStreet LightStreet SignTraffic SignalTrash and RecyclingTreesTripping HazardDescription of the RequestThis field is hidden when viewing the formAddress_NOTSAVE Address_NOTSAVE City_NOTSAVE State_NOTSAVE Zip_NOTSAVE AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country_NOTSAVE Type the address of the issue in the field below. Google will display a list of matching addresses as you type. Use the down arrow key and press the enter key for the correct address.Address of the Issue Tap/click the Pin in the address to get your current location.Skip past the mapThis field is hidden when viewing the formGeocoderThis field is hidden when viewing the formGF_CoordinatesMap Take/Upload Picture Drop files here or Select files Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 20 MB, Max. files: 10. Tap/click Select Files to take or upload a picture.Name*Phone*Email An email address is required if you would like to be updated when the status changes.PhoneThis field is for validation purposes and should be left unchanged. Δ
