Jefferson County, Alabama

Report a Problem or Request Assistance

 

* DENOTES A REQUIRED FIELD

1. Select the type of problem that you are reporting.

*Nature of Problem:
 NOTE: To report a sanitary sewer emergency, such as a backup into your home or business or an overflow from a manhole call (205) 942-0681.

2. Briefly describe your request in the space provided. Please be as specific as possible.

*Description of Problem:

3. Enter the address or location as well as the nearest intersection of the problem that you are reporting in the space provided.

Location:

Contact Information

Name:
*E-Mail:
Address:
City:
State:
Zip Code:
*Home Phone:
Work Phone:
Cell Phone: