Type of Hazard Pothole Grate Debris

Description of Hazard

For instance, poorly installed drainage grate above the road surface with a gap that could catch a bicycle wheel

Location of Hazard

Street

Nearest Cross Street

City

State Pennsylvania New Jersey Delaware Other

Hazard Was Reported to

Telephone Number Reported to

Date Reported

Do you have a digital picture of the hazard? Yes No

Your Contact Information
To effectively get this hazard fixed, we need your contact information to follow up with both you and the agency in charge of fixing the problem.

Name

Street

City

State Pennsylvania New Jersey Delaware Other

Zip Code

Email

Would you like to receive the Bicycle Coalition's monthly email newsletter? Yes

Are you a member of the Bicycle Coalition? Yes No