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2. First Name*
3. Last Name*
5. Address1*
7. City
9. Phone Number
   Contact phone number
10. Email Address
    Email Address
14. Type of Report*
    -- Select One --Sign RepairStreet IssuePothole Street Sweep Request

    Choose one
16. Address or Street Name of problem *
18. Intersecting Street Name
20. Description of Problem*
22. Upload a photo or file.
24. The City of Brownwood does not maintain all the street lights in the City of Brownwood. Oncor has an online reporting tool for street light outages. Link:https://www.oncorstreetlight.com/
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26. Submit

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