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Street Light Repair Request Form

To report street lights that are out or need repair, please complete and submit this form. It is pre-addressed to arrive at the correct destination when you click on the Submit button below.

Repairs will be completed in 5 to 10 working days. If repair has not taken place after 10 days or you want to speak to Street Transportation Department staff during normal business hours or leave a message, call (602) 495-5125.

LOCATION OF STREET LIGHT*
STREET LIGHT POLE NUMBER:

(Pole number is located 6 to 10 feet up from bottom of the pole; best method to identify pole needing repair.)
OR CLOSEST STREET ADDRESS NEAR THE POLE:

(example: 4756 W. Polinta St.)

ADDITIONAL INFORMATION REGARDING THIS REPAIR REQUEST:


In the event we need to follow-up with you, please fill in as much of the following information as possible.

Your Name*:

Daytime Phone*:
(Use 10-digit phone number)

E-Mail Address:

*required field

Before you submit this e-mail form, we would like you to be aware of the City's policy on the use of its e-mail systems. The policy states that the e-mail message you are about to send: (1) is subject to public disclosure under the Public Records Law, (2) is not private or confidential and (3) is retained for one month.

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Last Modified on 08/30/2008 14:23:54