Instructions
Complete the form and click the "Submit Request" button to send the request to the County Graffiti-Off office.
Required Fields are denoted with an
*
.
Your Information
Name
*
Please enter a name.
Daytime Phone Number
*
Please enter a phone number.
E-mail Address
*
Please enter an e-mail address.
Invalid E-Mail Format
Confirm E-mail Address
*
Please enter an e-mail address.
Invalid E-Mail Format
E-mail addresses do not match
Location of Graffiti
Street Number
*
Please enter a street number.
Street Name
*
Please enter a street name.
Zip Code
*
Please enter a zip code.
select
93203
93205
93206
93207
93215
93216
93219
93220
93222
93224
93225
93226
93238
93240
93241
93243
93249
93250
93251
93252
93255
93260
93261
93263
93268
93276
93280
93283
93285
93287
93301
93302
93303
93304
93305
93306
93307
93308
93309
93311
93312
93313
93314
93501
93502
93504
93505
93516
93518
93519
93523
93524
93527
93528
93531
93554
93555
93556
93560
93561
93581
Cross Street
*
Please enter a cross street.
Property Owner or Name of Business
*
Please enter a property owner or business name.
District
select
1
2
3
4
5
Description of Graffiti
Object(s) Tagged
*
(select up to 3)
You must check at least one item in the Object(s) Tagged area.
You cannot select more than three options in the Object(s) Tagged area.
Block Wall
Brick Wall
Cement Wall
Stucco Wall
Wooden Wall
Sidewalk
Wooden Fence
Slatted Fence
Curb
Control Box #
Road Sign #
Other
Notes
I will provide matching paint
SUBMIT REQUEST
CLEAR FORM