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2. First Name:
3. Last Name:
5. Date Issue Observed*
6. Approximate Time of Observation:*
8. Maintenance Request Type*

   1. Trail Surface
   2. Trail Obstruction

   1. Lighting, Signage, Fencing
   2. Vegetation

   1. Other
10. If Other, please describe
12. Severity of Issue*

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5

    1 indicates Minor Concern while 5 indicates needs immediate attention.
14. Location of Issue Observed:*
    Please provide mile marker and/or landmark in a detailed description.
16. Email Address for Follow-Up
    Please provide email address if you would like to be contacted regarding the status of the request.
18. Upload Photo
    If Available.
20. Thank you!
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field