HOME
ABOUT
EVENTS
PRESS
WASTEWISE
LOCAL REPAIR GUIDE
COLLABORATE
DONATE
HOME
ABOUT
EVENTS
PRESS
WASTEWISE
LOCAL REPAIR GUIDE
COLLABORATE
Clean Bushwick Iniative
DONATE
Repeatedly Littered Site - Reporting Form
Name
First Name
Last Name
Email
Is this site repeatedly littered?
No
Yes
Have you already contacted 311?
*
If you haven't, make sure you also report the issue to 311 as this will help secure sanitation funding for our neighborhood
No
Yes
If you have already reported to 311, what is/are your ticket number(s)?
Please provide the dates of each of your tickets, and any responses from 311 or The Department of Sanitation that you received
What is the location of the littered site?
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
When did you observe the litter/pollution?
MM
DD
YYYY
Time
Hour
Minute
Second
AM
PM
Type of Issue
Rodent Infestation
Illegal Drop Off/Excessive Sidewalk Litter
Illegal Dumping (you actually saw the vehicle)
Street Litter
Raingarden/Tree Bed Litter
Construction Site Debris
Broken glass
Clogged Stormwater Drains
Overflowing Street Trash Can
Failure to Pick Up Residential Trash
Other (please specify below)
Please describe the littered site
Individual or business responsible (optional)
Thank you!
