To get your sidewalk replacement started, please complete the following:

Today's Date:

Contact Information

Name:*

Address:*

Primary Telephone Number:*

Secondary Telephone Number:*

Email Address:

Comments/Questions:

By completing this online form, I understand that I am confirming that I would like to take part in the Sidewalk Replacement Program that the city offers. I am also giving consent to have city personnel come to my residence and estimate the cost of repair. I understand once I receive the estimate, I will send a check payable to the "City of Flagstaff" for my portion, at which time the work will be scheduled.