E-Services

City of Gladstone

Public Works Request Form

For all emergencies such as water main
break, sewer backups, road blockages
please call Dispatch (816) 436-3550
after hours 5pm-7am, weekends & holidays.

* Request Type: 

Please enter the incident location address
OR the nearest intersection if applicable:

House/Bldg #: 
Street: 
Apt/Suite: 

Nearest Intersection:
Street #1: 
Street #2: 

* Request / Description (1000 characters max):


Optional Photo Upload:



Please provide your contact information:

* First Name:

* Last Name:

* Address: 

* City: 

* State:    * Zip: 

* Phone: 

Cell Phone: 

* Email: 

Prefer contact by: