---
title: Crosswalk & Pedestrian Signal Complaint Form Template | Paperform
description: Free template for reporting crosswalk safety issues, pedestrian signal timing problems, button malfunctions, countdown timer issues, and ADA audio signal failures to municipal authorities.
url: "https://paperform.co/templates/crosswalk-pedestrian-signal-complaint-form"
type: static
generatedAt: "2026-03-31T00:48:07.721Z"
---

[← Back to free form templates](/templates/)    ![Crosswalk & Pedestrian Signal Complaint Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/crosswalk-pedestrian-signal-complaint-form.png)
    [Preview](https://_preview.paperform.co/ai-template/crosswalk-pedestrian-signal-complaint-form) [Use this template for free](/create?ai-template=crosswalk-pedestrian-signal-complaint-form)    [Reporting & Incident Forms](/templates/category/reporting/)[Government & Civic Forms](/templates/category/government-civic/) [Public Administration](/templates/industry/public-admin/) [Manager](/templates/role/manager/)[Operations Manager](/templates/role/operations-manager/)[Safety Officer](/templates/role/safety-officer/)     About this free form template
Pedestrian safety is a critical component of urban infrastructure, and properly functioning crosswalks and pedestrian signals are essential for protecting residents, visitors, and vulnerable road users. This **Crosswalk & Pedestrian Signal Complaint Form** provides a streamlined way for community members to report safety concerns directly to municipal transportation departments, traffic engineers, and public works teams.

Whether you've encountered unsafe crossing intervals that don't provide enough time to cross, push buttons that fail to activate signals, countdown timers that are inaccurate or non-functional, or ADA-compliant audio signals that aren't working properly, this form ensures your concerns are documented and routed to the appropriate department for investigation and repair.

Built with Paperform, this template allows citizens to provide detailed information about the location, nature, and urgency of pedestrian signal issues. The form includes conditional logic to capture specific details based on the type of complaint, photo upload capabilities for visual documentation, and options for scheduling follow-up inspections when needed.

Municipal governments, city traffic departments, and public works agencies can customize this form to match their reporting workflows and integrate submissions directly into work order systems, CRM platforms like Salesforce or Microsoft Dynamics, or project management tools through [Stepper](https://stepper.io) workflows. Automated routing ensures urgent safety issues receive immediate attention while routine maintenance requests are logged appropriately.

For communities committed to Vision Zero initiatives and improving pedestrian infrastructure, this form template provides an accessible, mobile-friendly way for residents to become active participants in street safety—turning public feedback into actionable improvements that make crossings safer for everyone, especially seniors, people with disabilities, children, and other vulnerable pedestrians.
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