Report Problem City of Nowata > City Help Desk > Report Problem Report a Problem to the City of Nowata 1 Your Contact Information 2 Type of Problem 3 Details: Time & Location 4 Details: Write it Out 5 Sign & Submit Please report your problem to the City of Nowata via the 5-step form below. You may also call the Nowata City Hall help desk during normal business hours, weekdays 8:00 am -4:30 pm. If this is an emergency please contact 911. All received forms will be handled by the respective departments or representatives that the problem pertains to. Your Contact Information This will be the information that the City of Nowata will use to contact you regarding your reported problem. Name* First Last Your Phone Number* Email* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Type of Problem Please choose the category or city department that your problem most closely relates to. Only choose one category/department. Type of Problem* Utilities Trash Services City Cemetery Streets (Lights, Street Signage, Sidewalks, etc.) Parks & Recreation (Includes Swimming Pool) Business Code Violation (i.e. Signage Violation) Issue with City Employee or Contractor Other Describe Your "Other" Type of Problem* Details of Your Problem (Time & Location) In this section you will elaborate on the vital information needed to help the City of Nowata address your problem. Date Problem Occurred* Approximate Time Problem Occurred* : HH MM AMPM Where did the Problem Occur?* Your HomeLocal BusinessCity ParkCity BuildingCity Street or IntersectionOther Name of City Building Where Problem Occurred* Name of City Building Name of City Street or Intersection Where Problem Occurred* Name of City Street or Intersection Name of City Park or Rec Facility Where Problem Occurred* Name of City Park Name of Local Business Where Problem Occurred* Name of Local Business Explain the "Other" Place Where Problem Occurred* Details of Your Problem In this section you will elaborate on the vital information needed to help the City of Nowata address your problem. Name of City Employee or Contract for Whom Issue Occurred With* First Last Please Explain Your Problem Thoroughly* Avoid using any unnecessary harmful or discriminatory language regarding individuals or local businesses. Your Desired Solution to the Problem* There is no guarantee that this solution will be implemented, but this will help the city in the conflict resolution phase with you and other parties involved in the conflict. Upload Supporting Photos Upload any photos that accompany your issue and will help with the resolution of the problem. Drop files here or Upload Supporting Documents Upload any documents that accompany your issue and will help with the resolution of the problem. Drop files here or Sign Form for Submission By signing this form you're hereby verifying that all information provided to the City of Nowata Oklahoma within this form is accurate to the best of your knowledge. Any content provided within this form (i.e. documents, photos, statements, etc.) are hereby released to the City of Nowata Oklahoma for the use of resolving this problem. Enter Your Name* First Last Best Way to Reach You* Phone - DaytimePhone - EveningEmail Years Lived in the City of Nowata* I hereby verify that everything I provided within this form is accurate to the best of my knowledge.* I Agree Comments This field is for validation purposes and should be left unchanged.