2. REPORT OF POSSIBLE MAILBOX DAMAGE

   Reports of possible damage are to be submitted no later than five (5) days after occurrence. 

   Please note that the responsibility of repairing and/or replacing mailboxes uprooted or knocked over by snow, and not physically struck by a plow, lies with the homeowner as outlined in the Winter Operations Plan. 

6. Physical Property Address:*
8. Owner Name(s):*
10. Phone Number:*
12. Email Address:*
14. Did you see the plow strike the mailbox?*
    -- Select One --YesNo
15. Date:*
17. Image of Mailbox
18. Does the possible mailbox damage meet the criteria of the Milton Right-of-Way & Property Damage Policy below?*
    -- Select One --YesNo
20. Town of Milton Right-of-Way & Property Damage Policy

    

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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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