Repair Request Form

2. The City of Brady FixiT Form will help us identify and promptly address problem(s) in your area. Should a problem require urgent attention, please call City Hall immediately at (325) 597 - 2152. For all police emergencies, dial 911.
   Thank you for your assistance!

   Thank you for your assistance!

4. Contact Information

6. First Name*

7. Last Name*

9. Address1*

11. Address2

13. City*

14. State*

15. Zip*

17. Phone Number*

18. Email Address*

20. Please indicate the nature of your problem by checking the appropriate box(es) below:

22. 1. Pothole
    2. Damaged curb
    3. Traffic signals
    4. Weeds
    5. Dogs barking
    6. Abandoned vehicles
    7. Chemical discharge
    8. Water leaking

    1. Litter
    2. Road striping
    3. ADA Complaint
    4. Blocked drainage channel
    5. Street Lights
    6. Damaged sidewalk
    7. Traffic/Road signs
    8. Overhanging trees/shrubs

    1. Noise nuisance
    2. Hazardous parking
    3. Storm sewer leaking/blockage
    4. Water leaking on roadway
    5. Loose/protruding manhole cover
    6. Discrimination Complaint
    7. Fair Housing Complaint
24. Brief Description (or other problem not listed)

26. Location of Problem

    Please provide specific location details so that we may better assist you.

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

* indicates a required field