[NAME]
[ADDRESS]
[PHONE]
[DATE]
Re: [ADDRESS OF DEFECT]
Dear Sir/Madam:
I am writing this letter to inform you of a roadway defect at the above referenced location. The subject location is extremely dangerous, as it [DESCRIPTION OF DEFECT]. Pursuant to Town Law § 65-a and [SPECIFIC TOWN CODE], you are hereby put on notice of the defective roadway condition. I respectfully request that you remedy the defect immediately.
Respectfully,
[YOUR NAME]
CC: [TOWN Superintendent of Highways OR TOWN Department of Public Works]
[ADDRESS]
