Repeatedly Littered SiteReporting Form Name First Name Last Name Email * Is this site repeatedly littered? Yes No 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 Yes No 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? What date did you observe the litter/pollution? MM DD YYYY What time did you observe the litter/pollution? Hour Minute Second AM PM What was the type of Issue? Rodent Infestation Illegal Drop Off/Excessive Sidewalk Litter Illegal Dumping (you actually saw the vehicle) Street Litter Rain Garden/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!