Streetlight Repair Form

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Please correct the field(s) marked in red below:

Use this form to request or report service needed on an existing streetlight. Please provide all the information required below and click the “Submit Request” button at the bottom of this form. Your name, telephone number, and e-mail address are not required, but are helpful should questions arise.

Your Information:

1
Name:
 *
2
Phone Number:
 *
3
Street Address:
 *
4
Email Address:
 *

Streetlight Information:

5

Pole Number:

(found about eye level on the pole)

6

Closest Street Address Near Pole:

7

Nature of Request:

 

Nature of Request:
8
Comments:

For additional information, please contact the Engineering Department's main line at 623.333.4200. Business hours are Monday - Thursday, 7:00am to 6:00pm

Streetlight repairs can be reported 24/7 to the Streetlight Repair & Maintenance Hotline at 623.333.4201.

*indicates required fields.

 

  1. To receive a copy of your submission, please fill out your email address below and submit.