Public Works Service RequestInstructions Please complete the service request below. Then fill in the text verification field by typing in the letters you see in the image. Finally, press the send button to submit your request to the Casa Grande Public Works Department. If you have any questions, please call (520)421-8625.First and Last Name Reporting Person OwnerRenterAddress Phone Number Please include your phone number or email address in case we have questions regarding your requestEmail Address Please include your phone number or email address in case we have questions regarding your requestPlease describe the work requested or location of problem. If reporting a street light out, please included closest street address and pole number Type of Request or Work Activity AlleyBranches/LimbsNew Service - Recycle OnlyNew Service - Trash OnlyNew Service Trash and RecyclePick Up ContainerPick Up RolloffsPotholesSewer BackupSewer OdorSewer RoachesSpecial PickupStreet Light OutTraffic Signal LightTraffic Vision BlockedUncontained TrashOtherIf new service- Please enter your delivery date. Deliveries are made on the following Tuesday or Friday only Name of Subdivision (if applicable) Text Checkbox Option 1Option 2Option 3Select Option 1Option 2Option 3 VerificationPlease enter any two digits with no spaces (Example: 12) *This box is for spam protection - please leave it blank: If you experience problems with the online form above, please call (520) 421-8625 to submit any requests or send an email to the public works department. Please include name, address, phone and service request.