Citizen Request for Services Form

Leave This Blank:

Use this form to request or report the following: repair of street or potholes, reporting of hazardous sidewalk condition, street or gutter drainage problems, street sign issues, streetlight outage (provide streetlight pole number). Your name, telephone number, and e-mail address are required in order to submit request

Reported location must be within the City of Willis city limits. The exact reported location/site address is required.

Please use one form per request!
Contact Information
Exact Location of Job Requested
* indicates required fields.