Citizen Request Form

Welcome to the Online Citizen Request Form! This online form is a convenient way to submit your requests to the City of Mansfield. The information provided will be forwarded to the appropriate department for action.

For example, request include:

  • General requests/suggestions/complaints
  • Code Enforcement: Abandoned vehicles, dilapidated homes
  • Streets/roads: Potholes, sidewalk repair
  • Public landscape: Overgrowth, trees
  • Water: Leaks, water pressure

After completion of the form, please click submit.

* Required fields

Name*:
Your Street Address*:
Your City*:
Your State*:
Your Zip Code*:
Your Preferred Phone*:

 

Email Address:
Service type (Select one):
Service Street Address*:
Service City*: 
Service State*: 
Service Zip Code*:
Detailed Comments*: