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2. Road Request Form

   This form is for Precincts 1, 3, and 4 ONLY. If your request is in Precinct 2, you will need to call that office directly. (Number is below). 

   NOTE: Kaufman County Precinct Maintenance is only responsible for County Roads (CR). 

4. Disclaimer:

   Kaufman County is only responsible for County Roads. Any road work requests on FM Roads and State or US Highways need to be reported to TxDOT at 972-962-3848. Any repairs on city streets need to be reported to those respective cities.

6. Date/Time

10. Precincts
    -- Select One --Precinct #1 - Kaufman AreaPrecinct #3 - Terrell AreaPrecinct #4 - Kemp AreaPrecinct #2 - Forney Area, Calls Only
12. County Road Name/Number*

    Please provide the name/number of the County Road and the location of the needed repair, i.e. 100 feet from the intersection @ CR 123 in the westbound lane.  Be specific please. 

14. Road Work Being Requested*

    Please be as specific about the road condition as possible. i.e. large pothole in the westbound lane as you approach CR 155. Also large tree branches laying across the roadway. 

16. Full Name

    Optional

17. Email Address

    Optional

19. Your Home Address

    Optional

21. City
22. State
23. Zip Code
25. Phone Number

    Optional

26. Cell Number

    Optional

28. Upload an image

    Please upload an image of the road damage if possible.

30. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
32. Electronic Signature

34. County Commissioners

    
    

    Precinct #1 Mike Hunt - Kaufman area

    Phone: 469-376-4156

    Precinct #2 - Skeet Phillips - Forney area

    Phone: 469-376-4612

    Precinct #3 - Terry Barber - Terrell area

    Phone: 972-563-5362

    Precinct #4 - Tommy Moore - Kemp, Mabank, Crandall, Scurry and Combine area

    Phone: 469-376-4622 

Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit Submit and Print

* indicates a required field