2. First and Last Name
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4. Your Address*
6. Phone Number*
7. Email Address*
9. County-Owned Roads*

   Please select a County-owned road from the list below. If your road is not listed, it may be a State or Municipal Road. Please call PennDOT at 1-800-FIX-ROAD or your municipality.

   1. Mt. Pleasant Road (Greensburg to Norvelt)
   2. United Road
   3. Calumet/Mammoth Park Road
   4. Clay Pike (Mt. Pleasant Twp)
   5. Center Highway (North Huntingdon Twp)
   6. Main Street (Hahntown)/Clay Pike/Sunshine Road, Pike Street, Highland Avenue (Herminie)
   7. Harrison City Road/Brickhill Road
   8. Story Road (Salem Twp)
   9. County Road (Slickville & Loyalhanna Twp)
   10. Marguerite Road/Village Drive (Unity Twp)
   11. Beatty County Road
   12. Auction Barn Road

   1. Ligonier Street Extension (Latrobe & Derry Twp)
   2. Huntingdon Street/Henry Street (Yukon)
   3. Highway Street (Yukon)
   4. Lowry Avenue (Jeannette)
   5. Lillian Road (Hyde Park)
   6. Mizikar Road
   7. County Park Road (Mammoth Park)
   8. Timms Lane (Rostraver Twp)
   9. Municipal Drive (Rostraver Twp)
   10. Park Road (Allegheny Twp)
   11. Air Shaft Road (Allegheny Twp)
   12. Grossheim Road (Allegheny Twp)
11. PennDOT's Customer Care Center website
    PennDOT Customer Care Center
13. Municipal, Borough, and Township Phone Numbers
    Municipality, Borough, & Township Phone Numbers
15. Report a Problem*
17. Additional Information
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19. 1. Receive an email copy of this form.
20. Email address

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