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Report a Street or Area Light Outage

Submission Form

Thank you for taking the time to make us aware of a street or area light outage.

Contact Information

First Name*

Last Name*

Day Phone* (xxx-xxx-xxxx)

Cell Phone (xxx-xxx-xxxx)

E-mail Address*

Account Number (12-digits)

Street Number or Intersection of Street Light

Address or Location Description*

Additional Location Information

City*

State*

ZIP

Nearest Landmark or Intersection

Additional Information

Light Type* (see samples on right)

Light Type Note

Light Trouble*

Light Problem Note

Pole Type

Pole Number(see samples on right)

You may provide any questions or comments below

Validation Image*

Please type the characters you see in this image in the space provided below (case insensitive).

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Note: * Items are required