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GraffitiForm

Required fields are indicated with a * symbol

Report Date :
Please key in today's date or click on Calendar for assistance: *

Format as DD/MM/YYYY

Reported By :

Contact information is required for all requests for service within the City of Hamilton. You will be contacted if additional information is required.

First Name: *

Last Name: *

Street Address: *

City: *

Province:

Postal Code:

Daytime Phone number and Extension:

E-mail: *


Graffiti Information

General Location

Unit / House number:

Street Name: *

Closest major intersection or nearest visible address: *

Graffiti Type (Check One)*



Property Ownership (Check one)*


Property Type (CheckOne)*

























Describe the affected property

(Type of building, name of business / park / institution / monument, utility box colour, any additional details): *

Comments:

Have you previously reported this graffiti*

If Yes, please provide your reference number:


Personal information contained on this form is collected pursuant to subsection 10(1) of the Municipal Act, 2001 S.O. 2001, Chapter 25, and will only be used for the planning, tracking and administration of the City of Hamilton's Graffiti Prevention Strategy. Questions regarding the collection of this information may be addressed to: Kelly Anderson, Public Affairs Coordinator, Public Works Department, City of Hamilton, 320-77 James Street North, Hamilton, ON, L8R 2K3 or call 905 546-2424, ext. 1430.
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