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2. Thank you for contacting us.

   *If you are contacting ius about an overflow issue, call immediately, do not use this form 864-531-0644 during work hours or Police Dispatch 864-862-4461.  If your concern is an emergency, please call 911.   

   Use this form to report non-emergency Public Works concerns such as maintenance needs, service requests, or other issues that impact your daily quality of life. Once submitted, your request will be reviewed and shared with the appropriate team for follow-up.

   While response times may vary, every submission helps us better understand community needs, prioritize projects, and improve services throughout Fountain Inn.

   Please allow a minimm of 10 business days before resubmitting a form or contacting the Public Works Department. 

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: *

    *Low Hanging Tree Limbs must be in a public Right of Way and not on personal property.   

    1. Animal Control
    2. Drainage
    3. Garbage/Trash
    4. Litter

    1. Low Hanging Tree Limbs*
    2. Parks
    3. Potholes
    4. Recycling

    1. Sewer
    2. Sidewalks
    3. Signage

    1. Storm Drain
    2. Street Lighting
    3. Traffic Signal
20. Location of Issue - Address/Intersection/Landmark:*

    Ex. 200 N. Main Street · We must have the exact 911 address. 

21. Is this on:

    1. Public Property
    2. Private Property
    3. Unsure
23. Subdivision Name
27. Description of Concern:*
29. Date issue first observed?
    Date issue first observed?
30. Is the issue ongoing?

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

    1. One-time
    2. Occasional
    3. Frequent

    1. Constant
    2. N/A
33. Examples:

    Are you hearing loud music every night?  Is a street light flickering or flashing on and off?  If a dog is barking, is it all day or occasionally?  

    This will help us understand the concern.  

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
46. Upload Documentation Here:
48. Description of Attachement(s):
52. 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.
54. Electronic Signature*
55. Date: *
    Date:
Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field