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Coronavirus Update:  Shelter in place advisories for Contra Costa have been extended indefinitely.  For the latest information on what the City is doing to keep us all healthy and safe, click here or visit www.ci.hercules.ca.us/coronavirus.

Forms and Surveys

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Public Works Comment Form

Please correct the field(s) marked in red below:

1
Please select from the following to describe your issue or issues:
 *
Please select from the following to describe your issue or issues:
2
If other, please describe:
3
Please describe the problem location including cross streets and landmarks:
4
What is your name?
5
What is your email address?
6
What is your phone number?
7
Would you like us to contact you regarding this issue?
 *
Would you like us to contact you regarding this issue?
8
Preferred Contact Method
 *
Preferred Contact Method
  1. To receive a copy of your submission, please fill out your email address below and submit.