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2. Thank you for contacting us.

   This is the City of Fountain Inn’s centralized system for reporting non-emergency concerns such as maintenance issues, service requests, or other quality-of-life matters. Submissions are reviewed by City staff and routed to the appropriate department for follow-up. While not all requests can be resolved immediately, every report helps us identify trends, prioritize needs, and improve services across our community. For emergencies or issues requiring immediate response, please contact 911 or the appropriate department directly.

4. Name*
5. Email Address*
7. Address
9. City
10. State
11. Zip Code
13. Phone Number*
14. Preferred Method of Contact: *
    -- Select One --PhoneEmailMailNo Contact Requested
16. Type of issue: *

    1. Roads
    2. Sewer
    3. Parking
    4. Yard Debris

    1. Sidewalks
    2. Traffic Signal
    3. Code Enforcement
    4. Street Lighting

    1. Storm Drain
    2. Signage
    3. Solid Waste
    4. Noise Complaint

    1. Drainage
    2. Speeding
    3. Recycling
    4. Public Safety
20. Location of Issue - Address/Intersection/Landmark:*
21. Is this on:

    1. Public Property
    2. Private Property
    3. Unsure
23. City
24. State
25. Zip Code
29. Description of Concern:*
31. Date issue first observed?
    Date issue first observed?
32. Is the issue ongoing?

    1. Yes
    2. No
33. How often does the issue occur?

    1. One-time
    2. Occasional
    3. Frequent

    1. Constant
    2. N/A
37. Have you reported this before:*

    1. Yes
    2. No
38. If Yes, Date:
    If Yes, Date:
39. Additional Organizations Contacted:

    1. Municipal Dept.
    2. Utility Provider
    3. HOA/Property Owner
41. Additional Information:
45. Supporting Information:

    1. Photographs
    2. Video

    1. Documents
    2. Witness Information
47. Upload Documentation Here:
48. Upload Documentation Here:
50. Description of Attachement(s):
54. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
56. Electronic Signature*
57. Date: *
    Date:
Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

* indicates a required field