Ditch Repair Request Form

Drain Name:    Drain Number  Repairs requested in Section  of  Township, DeKalb County Contact Information Requester First Name   Last Name   Address Line1 Address Line2 City State   Zip   Phone   Cell Phone   eMail Landowner (if different from above) First Name   Last Name   Address Line1 Address Line2 City State   Zip   Phone   Cell Phone   eMail Location Address or Description of where the problem is located: Description Description of Drainage Problem: