This form is to report a mailbox that was damaged by a Township snow plow, following a snow event.

Date of Snow Event

Name

Your Street Address*

Phone number

Email address

How would you prefer to be contacted?*

Phone

Email

Please explain the damages to your mailbox.

Please check one or more boxes to let us know what you are requesting.*

I am requesting a new standard black mailbox to be purchased and installed by the Township. I am requesting a new standard wood post to be purchased and installed by the Township. I am requesting reimbursement for a damaged mailbox and/or post ($100 maximum). A copy of my receipt is attached.

I am requesting reimbursement for a damaged mailbox and/or post, but I do not have a receipt. ($20 for the mailbox and $25 for the post without receipt). I would like the Township to install a mailbox or post that I purchased.

Questions? Email us at publicworks@westwhiteland.org or call 484-875-6020.

Damaged Mailbox Policy

We will add your email address to our eNews distribution. We send emails every week or two with information about upcoming meetings and events, trash and recycling, and other Township updates. Please click "No" if you do not wish to receive these informative email updates.

Yes

No