\ Citizen Bicycling Concern Report

CITIZEN BICYCLING CONCERN REPORT

Bicyclists of Iowa City, Inc./JCCOG
(you DO NOT need to be a BIC member to fill out this form!)

The Cities of Iowa City and Coralville want to know about large cracks, potholes, quantities of broken glass, and other defects in roads and pavements that are of concern to bicyclists and motorists. To enable repairs to occur, please print out the form below and return it to any Iowa City bike shop. Thanks for your participation!

Location: [ ] Iowa City [ ] Coralville Roadway Name: _________________

Landmarks (cross street, number of feet from curb, address, etc.)

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Description of problem: (What is it and why is it a problem?)

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Reported by: (for BIC purposes only) Name ___________________________________

Address ___________________________ City ___________________________________

Date _____________ Day Phone _______________ Evening Phone _________________


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