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Survey/Form Review
Please use the form below to report issues related to traffic control within the Town of Leesburg.
Do not use this form to report an emergency situation - please call 911 or 703-771-4500.
What type of traffic issue are you reporting?*
Please describe the issue:

Where is the problem located?
Street Address (approximate)
Nearest Cross Street
When did you experience this issue?
Day:*
Time:*
Contact Information
Name
Street Address
City
State
ZIP code
Phone Number
Email Address
Would you like for someone from the Town of Leesburg to contact you about this issue?
If yes, what is the best way to contact you?
Thank you for reporting this traffic issue to the Town of Leesburg.