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Pedestrians & Sidewalks
Newsracks Complaint Form
*
Required fields must be completed before submission.
Date:
mm/dd/yy
Name:
Address:
Zip Code:
Telephone Number:
(
including area code
)
*
Email:
Location of Newsrack:
Corner/side
(
check one
):
NW
NE
SW
SE
N
S
E
W
On Street:
Nearest Cross Street:
Borough:
Name of Publication:
Multi-rack
Single-rack
Nature of Complaint:
Please fill out a separate form for each location.
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