Please complete this online form to request a tree be planted by the City of Dubuque in the public right of way, defined as between curb and sidewalk.

Name of person requesting tree planting:*

Exact address where tree planting is requested:*

Daytime Phone Number:*

Home Phone Number:

Email Address:

If city funds are unavailable to cover complete cost of tree purchase I am willing to pay 50%? *

Yes

No

Special considerations or requests: