MAINTENANCE REQUEST FORM

NOTICE: If you have an open concern on file, it is not necessary to file a second one on the same matter.

Please be aware that all information (except your email address) that you submit on this form is subject to public disclosure under the Texas Public Information Act.

Please complete the entire maintenance request form and submit it below.  Provide pertinent information about your complaint including copies of letters, photographs, etc.  Please provide names and addresses of persons involved (or witnesses if applicable), dates when the event occurred, and address(s) of occurrence.  Attached documents will become property of the Waller County Road & Bridge Department.