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Service Request Form

  1. Reporting Traffic Signal Issues:

    Do not use this form to report a traffic signal intersection that is entirely DARK or FLASHING outside of business hours (Monday through Thursday, 8:00 a.m. to 5:00 p.m.). Instead, please call the Jefferson County Sheriff’s Office at 303-980-7300.

  2. Disclaimer:
    Information submitted on this form will be sent via unsecured email. To protect sensitive information, do not enter the following items or similar information on this form: Social Security numbers, driver’s license numbers, bank account information, routing numbers, credit card numbers, medical information, passport numbers, and passwords. Please review our privacy policy located at www.jeffco.us/privacy. By submitting this form, you acknowledge and accept the terms listed in the privacy policy.
  3. Request Transportation and Engineering Services
  4. Is the location in Unincorporated Jefferson County?*
  5. How would you like to be contacted?*
  6. Contact Information
    Please fill out the information for your preferred method of contact.
  7. Leave This Blank:

  8. This field is not part of the form submission.