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2. Please Note: Maintenance Requests and Code Violation Reporting Have Moved
   My Jurupa Valley Service Portal

   Use the "My Jurupa Valley" app or the online request portal linked above if you are looking to submit a concern regarding maintenance requests, code complaints, or traffic, including, but not limited to:

   • Code Violation
   • Pothole or Road Hazard
   • Streetlight Issue
   • Illegal Dumping
   • Abandoned Vehicle
   • Sidewalk Issue
   • Traffic Signal Issue
   • Speed Zone Issue
   • Graffiti
   • Red Curb

   If you are not submitting a maintenance request or code complaint, continue completing the form.

6. Your Contact Information
8. First Name*
9. Last Name*
11. Email*
12. Confirm Email*
14. Street Address*
16. City*
17. State
18. Zip Code
20. Phone*
22. Your Feedback
24. Category*
    -- Select One --AdministrationBuilding and SafetyPermitsPlanningWebsite Problem or Issue
26. Message*
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28. 1. Receive an email copy of this form.
29. Email address

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