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2. Contact the Highway Department
   Please use the interactive online form below to contact the Town of Brookhaven Highway Department.

4. First Name*
5. Last Name*
7. Email Address*
8. Join Email List?*

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10. Phone Number*
11. Your Address*
13. Your City*
14. Your State*
15. Your Zip Code*
17. Problem Location
    Please enter the problem location below.
19. Problem Address*
20. Problem City*
22. Problem Cross Street 1*
23. Problem Cross Street 2*
25. Comments*
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27. 1. Receive an email copy of this form.
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