Answers to fields and questions with an asterisk ( * ) are mandatory Your Contact Information 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: * Daytime Phone Number: * Address: * Postal Code: City * Province Email: * Graffiti Location/Description Address or intersecting streets: * Graffiti Type: * - Select -Offensive - ProfanityOffensive - ImageVandalism - General Words / TaggingVandalism - General Image / Drawing Property Type: * Municipal Parking Lot Bench (Park, Transit, Other) Bike Racks Bridge / Overpass Building - Residential Building - Business / Facility Fence Fire Hydrant Garbage / Recycling Container Monument Newspaper Box Parking Meter Planter (Wood, Cement, Other) Play Structure (Park, Pool, Rink Boards, Street Signs) Pole (Light, Other) Railing Table (Picnic, Other) Traffic Signs (Stop Sign, Warning Sign, Street Sign) Other signs (Mobile, Building, Information) Traffic Control Box Bus Shelter Utility Box Water / Wastewater Structure Other Type of Utility: Have you reported to the utility? * Yes No Additional Location Information: Include any additional information related to the location, such as the type of building, name of business/park/institution/monument or any other details. Comments: Have you previously reported this graffiti? * Yes No 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 personal information may be addressed to: Manager, Records and Freedom of Information, City Clerk's Division - City Hall, 71 Main Street West, 1st Floor Hamilton, Ontario L8P 4Y5. Phone: 905-546-2424 ext. 2743 Date modifiedd: 2015-04-14
