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2. If you would like to send a Work Request Form to the City of Gaffney Public Works Department, please complete and submit the eForm found below.

   Please Note: This eForm is only for work requests located within Gaffney City Limits and is only for the types of work described on the City of Gaffney Public Works webpage.

4. Date of Request*
   Date of Request
8. Contact's Information:
10. First Name*
11. Last Name*
13. Phone Number*
14. Email Address
18. Work Request Information:
20. Location of Work Requested*

    Please provide an address and describe the location of the work you are requesting. 

22. Description of Work Requested*

    Please describe the nature of the work you are requesting.

24. Urgency Level

    1. High
    2. Medium
    3. Low

    Please select a level of urgency for the work you are requesting.

26. File Upload (Optional)

    Upload a photo to help explain your work request.

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field