What type of traffic issue are you reporting?

What type of traffic issue are you reporting?

Traffic Signal Timing Problem

Traffic Signal Outage

Missing or Damaged Street Sign

Right-of-Way Obstruction (dumpster, trailer, POD, etc.)

Other (please describe) If other, type text here.

Please describe the issue.

 *

Please describe the issue.

Where is the problem located?

 *

Where is the problem located?

Street Address (approximate)

Nearest Cross Street

When did you experience this issue?

Day

 *

Day

Weekday (Mon-Fri)

Weekend (Sat-Sun)

Time

 *

Time

Early Morning

Morning Rush Hour

Midday

Evening Rush Hour

Late Evening

Your Contact Information

Your Contact Information

Name

Phone Numberext.

Email Address

Would you like for someone from the Town of Leesburg to contact you about this issue?

 *

Would you like for someone from the Town of Leesburg to contact you about this issue?

Yes

No

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2. Email Address

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