We are asking you to participate in a short community survey, that will help us to make the Department of Transportation (DOT) aware of the needs of our community.

If there are needs for:

• Better roads on your street
• A speed bump
• Street Signs / Street Lights
• Traffic Lights

We want to know!

If you have already called to make a request to 311, please include the 311 request # or the DOT request # in the survey.

My office is here to serve you and I want to make sure that our streets, lights, traffic lights, etc. in our neighborhood are functional and safe.

Please mail your survey response or feel free to drop it off at our office, 1312 Flatbush Avenue, Brooklyn, NY 11210.

We look forward to hearing from you!

Sincerely,

Title

First: *

     

Mid:

Last: *

     

Suffix:

Company:

Email: *

Address: *

     

Apt #:

City: *

     

State: *

     

Zip: *

Phone: *

Mobile:

* Indicates Required Field

Roads & Sidewalks

Tree growing out of sidewalk

Need road/street to be paved

Potholes

Street Lights

Is the street light(s) not functioning?

Is there a need for brighter light?

Is there a need for the installation of a new light?

Are the street lights synchronized?

Street Signs

Is the sign faded or not visible?

Is the sign missing?

Is there a need for a new sign?

Speed Bumps (Humps)

Is this request for a new speed bump (hump) in a school zone?

Is this a request for a new speed bump (hump) due to excessive speeding?

Traffic Light

Traffic light not functioning

Traffic light too slow or too fast

Inefficient flow of traffic

Other

Please name the main street and cross streets that correspond with your issue

Please describe the issue you would like addressed

Additional Comments

If you have previously made a request to 311, please include the 311 Request # or the DOT Request #

For any issue that needs a more immediate response, please call 311 or contact the DOT online: http://www.nyc.gov/html/dot/html/contact/contact-form.shtml?routing=bk