Graffiti Reporting Form

Please complete this form to report graffiti within the City of Dayton. This form will be forwarded to the appropriate party and responded to in the order it was received. Thank you for your involvement. (* = required input)

Section 1: Complainant Information

First Name
Last Name
Street Address
City / State / ZIP		/ /
Phone
Email
		Please contact me

Section 2: Location/Description of Graffiti

Type of Graffiti
Description of Graffiti
*Address of Graffiti
Cross Street
Addition Location Description