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Service Request Form

  1. The City of Wadsworth is here to serve you. If you have a specific request that needs addressing by the City, you may use this form to contact the appropriate City department. Requests will be processed from 8 a.m. to 5 p.m. Monday through Friday. 

    If this is an emergency, please call 911 immediately. 

    If you would like to request assistance with more than one issue, please submit each request separately so that we may send each one to the appropriate department. 

  2. Select the problem you would like addressed: *
  3. Exact Location of Job Requested:
  4. Please provide the following contact information. At a minimum, an email address or phone number is needed.
  5. Leave This Blank:

  6. This field is not part of the form submission.