Pedestrian Problem Report Form

We welcome you to help WALK Austin gather information about the many pedestrian problems which exist all about Austin. Fill in as much information as you can and submit this form. At least include a Title, and enough information about yourself so that we can contact you. We will investigate your problem and add an entry to our web database.

Short problem Title:

No curbcut at ForExample St. and YouGetTheIdea Lane"

Information about you:

Your Name:
Street Adddress:
City: State: Zip Code:
Home Phone: Day Phone:
email address: contact notes:

Describe in detail the specific location of the problem:

Section of town, Nearby major streets, Landmarks, Street names, addresses etc. anything to help us exactly locate the problem.

A summary of the Problem:

Explain briefly exactly what the problem is and how this problem affects you.

Your suggestion for a solution:

Your ideas on how could this problem be solved (optional).

Submit the report

Press clear to start over on a new report,
Press submit... to send us this form.

Thanks for your input. Please be patient, our response is by volunteers.