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Petaluma

Safe Streets Nomination Form

IMPORTANT! If the issue you’re reporting presents a hazard and/or requires immediate attention, please report using cityofpetaluma.org/issues or by calling Public Works & Utilities at 707-778-4303.

While we strongly encourage using the form below to submit nominations, those unable to do so may also submit nominations to [email protected] or by calling Public Works & Utilities at 707-778-4303.

Name
First Last
Email
Phone
Nomination Location (Address / Description)
Issue (s) Observed (select all that apply)
- Select All
- Speeding
- Cut-through traffic
- Unsafe turning movements
- Visibility / obstructed sight lines
- Drivers not yielding to pedestrians
- Drivers not obeying stop signs
- Drivers not observing 3-foot law when passing people bicycling
- Other
Issue Description - additional information about the issue(s)
Upload photos or videos
Accepted file types: jpg, png, pdf, mp4, Max. file size: 30 MB.
Describe your connection to the locations
- I live on the street
- I live in the neighborhood
- I don’t live on the street or in the neighborhood, but I use this street frequently
- Other
Are you submitting this nomination on behalf of a group, such as a Homeowners’ Association (HOA), Cool Block team, community organization, or neighborhood group? If so, please describe:
Upload documents (such as petitions or letters) demonstrating neighborhood support. While not required, this is highly recommended.
Accepted file types: doc, docx, pdf, Max. file size: 30 MB.
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