Form Center

2. The City of Chino Fix It Form will help us identify a problem in your area -- and fix it fast. Should a problem require urgent attention, please call us immediately. For a police emergency, dial 911. Otherwise, call (909) 334-3266. Thank you for your assistance!
4. Please indicate the nature of your problem by checking the appropriate box(es) below:*

   For Animal Services, please call 909-623-9777 or visit the Inland Valley Humane Society website.

   1. Curb Damage
   2. Litter or dumping
   3. Trees or Weeds
   4. Park Maintenance
   5. Pothole
   6. Road Striping

   1. Sidewalk Damage
   2. Shopping Carts
   3. Storm Drain - Blockage
   4. Street Lights
   5. Street Sweeping
   6. Traffic Signal Lights

   1. Traffic Signs - Damaged
   2. Water - Break or Leak
   3. Water - Waste
   4. Water - violation of water use restrictions
   5. Website
   6. Other
6. Brief Description (or other problem not listed)*
8. Address of Problem*

   Please provide address or nearest address. If address is unknown, try to be as descriptive as possible, for example: southwest corner of Central and Riverside drive.

10. Add a Photo of Concern
14. Contact Information

    Provide your contact information so we can reach out if there are follow up questions.

16. First Name*
17. Last Name*
19. Phone Number*
20. Email Address*
Leave This Blank:


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

    This field is not part of the form submission.

24. Submit Submit and Print

* indicates a required field