If this is a water line emergency, please contact the Lucas Co. Sanitary Engineer's office telephone line at 419-213-2926.

Non-emergency reported problems submitted by this form will be acted upon during normal business hours, 7:30 a.m. to 4:00 p.m.

Brief Description*

Jurisdiction
(If City or Village then call them)*

Jerusalem Township Washington Township Sylvania Township Springfield Township Monclova Township Waterville Township Providence Township Swanton Township Spencer Township Harding Township Richfield Township Holland Harbor View Ottawa Hills

Problem Location

Street Number:

Street Name:*

Intersecting Street Name:

City:

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Zip Code:

Photograph:

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Your Information

Name:

Street Number and Name:

Address Line 2:

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Fax Number:

Email Address:

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