Form Center

Report a Road Concern

2. Name*
3. Email*
5. Phone Number*
6. Address*
8. Location of Concern*
   Enter nearest address, intersection, landmark
10. Description of Concern*
12. Please Note:
    The Jefferson County Highway Department does not maintain State highways, city or town streets. Thank you for submitting your road concern. The Highway Department will take your concern under advisement.
Leave This Blank:


14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

* indicates a required field