Location of Street Light
* Street Light Pole Number (type "Unknown" if you do not have the pole number):
(Pole number is located 6 to 10 feet up from bottom of the pole; best method to identify pole needing repair.)
* Closest Street Address Near the Pole:
(example: 4756 W. Polinta St.) *Please choose your Electric Service Provider*
Additional Information Regarding this Repair Request.
No Light - Burned Out
Lights Always On - Even in Day
Pole Knocked Down
Exposed Electric Wires
Series of Lights Without Power
Bent or Loose Arm
Light/Glass Broken Out
Light Flickers On and Off
*Is this a shield request?
Yes or No...
Not a shield request
Yes, this is a shield request
In the event we need to follow-up with you, please fill in as much of the following information as possible:
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