2. Have you noticed a street or an area in need of a litter clean-up?  Report it to KACCB know so that the issue can be properly addressed.

4. Date
   Date

   On what date did you encounter the littered conditions?

5. Name and contact information
   If you would like to be contacted regarding follow-up on this report, please provide your name and an email address and/or phone number.
7. Location and/or name of street.*

   Please provide the address, cross-streets, or other landmark-related information so that the littered area can be easily located.

9. What is the condition of this road?*

   1. Slightly Littered. This area is beginning to accumulate litter and needs to be watched.
   2. Littered. Please target this area for a cleanup.
   3. Extremely Littered. A substantial amount of litter has accumulated or an illegal dumping incident has occurred.
11. Is this public or private property?

    1. Public
    2. Private
    3. Right-of-Way
    4. Don't Know
12. Action
    Thank you for letting us know about this area. KACCB will follow up on your report.
14. Other
    Please provide any other information we need!
15. Photo/Map
    You may upload a photo or a map of the area.
17. Photos
18. Photos
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit Submit and Print

* indicates a required field