Your Name

Phone Number

Email Address

Address

Where is the Graffiti? (approximate address)

Are you a property owner/manager? Yes No

When did you first observe the Graffiti?

Graffiti is on: (check all that apply) Public Property Private Property Residence Business

Property Type Building Brick Wall Bridge Concrete Block Wall Curbs Driveway Fence Garage Door Granite Pole House Metal Pole Parking Lot Pedestrian Tunnel Overpass Sidewalk Stop Sign Street Telephone Poles Traffic Control Box Traffic Signs Tree Underpass Other

If other, please define

Describe the graffiti

Upload an image of the graffiti. Maximum size is 10 mb. (This is not required, but helpful)

Is this area consistently plagued by graffiti? If so, is it always the same kind of graffiti (political, ideological, offensive, tags, etc)? Please explain.

Would you like to be contacted in regards to your report? Yes No