Fields marked with * are required to process your request.

Problem *
Always On
Always Off
Cycles On and Off
Damaged or Other Problem


Contact Information:

Your name: *
Your address: *
City: *
State: *
ZIP: *
Email address:
Home Phone: *
Work Phone:

Location of Light Fixture*
At Your Home
Along a Street
At a Business

Pole Number if known:

Nearest Physical Street
Address of Light Fixture: *

Please enter brief directions to the light fixture, and any comments.
(If possible, please temporarily mark the pole with tape or ribbon.)*

 

If you have filled in all required fields, please click on the SUBMIT button to send this information to the Energy Services Department. To erase the entire form and start again, click on the RESET button.

 

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