Work Order Request Form: Public Works Department

Work Order Request Form

This Work Order Request is for Charleston County maintained assets.

asterisk () = required field

Contact Information

Please, tell us how to contact you so we may follow up on your request.

Full Name Full Name *

Email Email *

Phone Phone *

Alt. Phone Alt. Phone *

Subdivision Subdivision *

Mailing Address Mailing Address *

City City *

State State *

Zip Zip *

Request Details

Location of Service Request (If different than mailing address) Location of Service Request (If different than mailing address)

Request Type Request Type

Exact location of standing water (If applicable) Exact location of standing water (If applicable)

Please check if you have an outside animal and/or locked gate.

If necessary, do we have permission to enter your property? If necessary, do we have permission to enter your property?

Do you have any dogs on the property? Do you have any dogs on the property?

If "Yes" above, will they need to be secured in advance? If "Yes" above, will they need to be secured in advance?

Description of Service Request Only

Character Count * (2000 max limit)

0 / 2000

Verification Code

Code Code

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