Interest List, Concrete Repair Program

2. <h3>Request that your name be added to the interest list for the City's Concrete Repair Program. The City has a modest amount of funding each year to fix limited locations. <br> <br> If you want your sidewalk fixed now, please consider the <a href="https://fremont.gov/2831/50-50-Sidewalk-Program" target="_self" class="Hyperlink">50-50 Sidewalk Repair Program</a>. The Program reimburses property owners up to 50% of the cost of repair to a maximum of $1500 per property. </h3>

   Request that your name be added to the interest list for the City's Concrete Repair Program. The City has a modest amount of funding each year to fix limited locations.
   
   If you want your sidewalk fixed now, please consider the 50-50 Sidewalk Repair Program. The Program reimburses property owners up to 50% of the cost of repair to a maximum of $1500 per property.

4. First Name*

5. Last Name*

7. Email Address*

8. Phone*

10. Address*

11. Zip Code*

13. Photo of Damaged Sidewalk

15. Comment or Question

Leave This Blank:


16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field