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2. *TO REPORT AN EMERGENCY CALL 911 OR YOUR LOCAL EMERGENCY DISPATCH NUMBER*
4. Non-Emergency Road Condition or Problem Report
5. Condition is on:*
   State or County Road
7. Description of condition or problem:*
   Please tell us what the problem or condition is (pot hole, black ice, etc.)
9. First Name*
10. Last Name*
12. Address*
14. City*
15. State
16. Zip*
18. Phone Number*
19. Cell Phone
21. Email Address*
23. Thank you for your concern. We will look into this issue as soon as possible.
25. PRICE COUNTY HIGHWAY DEPARTMENT, PO BOX 169, PHILLIPS WI 54555, PHONE (715) 339-3081
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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

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