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Street Light Service Request Form

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Street Light Service Request Form

This form is intended to be used as an easy way of submitting Street Light Service Requests electronically. Please complete the items below and select submit.

Please Provide your Name, Street Address, City, State, Zip, Phone (if available)

Email Address:

Check all that apply:
  Light not operating   Light going on and off
  Broken Glass   Open, Broken, or missing light fixture
  Damaged Pole   Exposed Wires
  Light blocked by trees   Other

Enter problem description below:

Enter the location/closest address below:

Enter your comments below: