Form Center

2. Date
   Date
4. Customer Information
6. Name
7. Email Address
9. Address
11. City
12. State
13. Zip Code
15. Phone Number
16. Fax Number
18. General Work Request Type

    1. New Construction Projects
    2. Parking/Striping
    3. Parks/Landscaping/Trees
    4. Right of Way Permit/Status
    5. Sidewalks
    6. Streets/Roadways/Curbs
    7. Storm Drainage

    1. Traffic/Street Lights/Signals/Signs
    2. Trash Disposal/Yard Waste/Recycling
    3. Tree Removal
    4. Water Meters/Service
    5. Water/Sewer Concern
    6. Other
19. Explain Other
21. Brief Description
23. By checking the box the sender is agreeing to the following statement: "I understand that internet work requests are subject to review and approval for services to be provided. My request may be declined. I do not have a work order guarantee until I receive a written confirmation email from the St. Augustine Public Works Department." Click the submit button to send your request to the Public Works Department. Upon approval or denial of your work request, you will receive an email at the email address provided with this request. Processing your request, depending on the complexity of the work, can take anywhere from 3 days to two weeks. Please allow ample time for us to respond. Print this screen for your records prior to submitting your request.

    1. I agree to the statement
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field