Use this form to report or request information regarding drainage or water quality problems in Kirkland.

If you would like to remain anonymous check the " ANONYMOUS " box. If checked, the investigation report will remain public information, however the "complaintant's" name will be marked anonymous.

Note: Your name, email, and address are still required so the investigator may contact you for additional information and followup.

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NAME ADDRESS CITY STATE ZIP EMAIL  Enter a valid email address. Example: name@company.com TELEPHONE  Enter a valid phone number. Example: 123-456-7890 LOCATION OF PROBLEM (if different from above address) REPORTED PROBLEM description NATURE OF PROBLEM/ REQUEST DrainageFloodingErosionWater QualityStormwater FacilityLandslideLevel 1 AnalysisGeneral Inquiry Do you wish to have your name reported as ANONYMOUS? Yes No Would you like to be notified before the investigation? Yes No Would you like to receive an email copy of your request? Text version HTML version Send no email