Service Request Form

The online Service Request form should not be used to report bylaw infractions or emergencies or safety or health hazards. Bylaw Infractions reported on this form will not be accepted.

For bylaw infractions, contact the Bylaw Services Office at 604.927.5440 or bylawservices@portcoquitlam.ca.

If you have difficulty using this form, please contact our Information Desk at 604.927.5411 or info@portcoquitlam.ca.

I am reporting a *

Subject * Subject

What kind of Bylaw infraction?

Please note that while snow is falling or until the primary roads are cleared, the City will not be addressing local roads or lanes.

Enter description/details *

Address/Location/Intersection

Upload an image

Maximum upload size: 209.72MB

(Please upload any photo(s) you would like to attach to your request/concern. Only JPEGS,TIFF, PNG, GIF accepted. )

Tell us how to contact you.

Name *

Phone Number *

Email Address *

Address *

Address

City

Province

Postal Code

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