Sidewalk Repair Registration

Citizens of the City of Brazil shall request walkway repairs twelve months a year.  All request shall be made in the Mayor's Office, located at 203 East National Avenue; Brazil, Indiana  47834, by phone at 812.443.2221, ext. 203, or via internet (www.brazil.in.gov)

Sidewalk Repair Request

 

 

Name

Date

Mailing Address

 

     Sidewalk Information

 

Address of Property adjoining sidewalk

General Location of Sidewalk to be repaired

 

    Is the person or persons living at the address in question have any physical disabilities?

                        Yes

                        No

 

   

 

City of Brazil Homepage

City of Brazil Sidewalk Page