Traffic Safety Concern Form

Print
Press Enter to show all options, press Tab go to next option

Please correct the field(s) marked in red below:

Traffic safety concerns can be reported directly to the City of American Canyon by completing this form.

If you have an immediate safety concern please dial 9-1-1. The information received from this form is only monitored during regular business hours. 

Traffic signal timing, missing signs, streetlight outages, potholes, roadway debris and other maintenance concern can be reported through American Canyon Connect by clicking here or calling (707) 647-4550. 

1
What is the nature of your traffic concern? 
2
What time of day have you observed this concern? 
3
Name of street where you observed this concern?
4
What is the nearest cross street?
5
Which direction were the pedestrian(s) or vehicle(s) of concern traveling? 
6
Additional information
7
Your contact information is optional. If you would like us to personally follow-up with you please provide it below.
Your contact information is optional. If you would like us to personally follow-up with you please provide it below.
  1. To receive a copy of your submission, please fill out your email address below and submit.