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Street Light Repair Request Form

To report a street light(s) that are out or malfunctioning, simply fill out and submit the following repair request form.

Note 1: For trimming tree vegetation from power lines, please contact your power company. Power line maintenance is not a service component of the lighting equipment funded through the special taxing district.

Note 2: The maintenance fee charged to the special taxing district obligates the power company to provide any service that is necessary to keep the equipment in good working order. General maintenance service, such as painting poles is not included in the maintenance plan for the equipment provided by the power company through the special taxing district.

Contact Information

Name

Address

City

State

Postal code

Email

Phone number

Street Light Information

Address nearest to light

Directions and/or cross streets closest to light

Light pole number (if available)

Gate Code (if available)

Problems with light(s)

(check all that apply)

Please include additional pole numbers as well as any access information that would be helpful to the power company personnel in gaining access to the lights for repair.