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Complete this field only if the address is different than the location you're requesting clean-up assistance for.
If you select "Other," please describe the location type to the best of your ability.
If you are unable to provide an exact address, please include nearby landmarks, cross streets, or other descriptive information to help locate the area of concern.
Please describe the issue such as physical limitations, hoarding, trash accumulation, need for landscaping assistance, etc.
Check all that apply:
You may upload a photo or video to help KEB better understand the need for and scope of clean-up assistance.
Accepted file types include JPG, PNG, PDF, and MP4 (video). The maximum file size is 10 MB.
Only relevant photos and videos should be uploaded. Submitting inappropriate or unrelated files is prohibited and may result in further action.
Include any additional details, concerns, or questions about your request.
By submitting this form, you, the form applicant, confirm the following:
Please acknowledge your agreement by providing your electronic signature.
By checking the "I agree" box, you agree and acknowledge that your electronic signature is valid and binding upon you to the same force and effect as a handwritten signature.
This field is not part of the form submission.
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