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2. If there's a streetlight out in you neighborhood, please report it to us by completing and submitting this form. It's important you provide the:

   • Location of the Streetlight
   • Nearest cross street
   • Pole number (usually located on a metal strip attached to the pole; not all pole may have this metal strip)

   If you are reporting more than one streetlight outage it's important you complete and submit a separate form for each one.

4. First & Last Name*
5. Email
6. Confirm Email Address
8. Street Address Nearest to Pole*
9. Pole Number (if Available)
11. Location of Pole*

    e.g. 2 Poles from the intersection of Main Street and Maple Avenue.

13. Nearest Cross Street*
14. Light Status*

    1. Off
    2. Always on
    3. Flickering
15. Is the Streetlight Part of a Traffic Signal Pole?

    1. Yes
    2. No
    3. Don't Know
Leave This Blank:


17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

* indicates a required field