RB Citizen Request Form
Expand
Relocate
Errors\Warnings:
Please enter your Contact Information
Tell us about your Road and Bridge Request
Remember Me
To report an immediate concern such as a STOP SIGN down or damaged or a TREE BLOCKING the road,
please contact the Volusia County Sheriff's Office as this form is not continuously monitored.
Deland (386) 736-5999, Daytona (386) 248-1777, New Smyrna (386) 423-3888
THIS FORM IS NOT CONTINUOUSLY MONITORED
PROBLEMS WITH FORM? Please call 386-822-6422
LOCATIONS and CONTACT INFORMATION
Northwest Office - Deland
Southwest Office - Osteen
Northeast Office - Daytona Beach
Southeast Office - NSB
Phone: 386-822-6422
Phone: 386-822-5091
Phone: 386-239-6535
Phone: 386-424-2925
2560 W State Road 44
200 State Road 415
3771 W International Spdwy Blvd
530 N Dixie Highway
Phone # format
use xxx-xxx-xxxx
Recorded Date
*
First Name*
*
Last Name*
*
Business
Bldg/House #*
*
*
Street Name*
Address
*
*
Apt/Suite
City*
*
Zip*
*
Primary Phone*
*
Email
*
Problem*
*
Knowledge Base
Scripts
Loc City*
*
Please provide road name and nearest cross st*
*
Please describe the problem as clearly as possible*
*
Category*
Select a Category
*
Supervisor*
Supervisor
*
*