Form Center

Welcome to the City of Rockville Form Center. If your form requires a response, we will contact you as soon as possible.
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Report a Streetlight Outage or Problem

  1. Thank you for notifying the city about a streetlight issue. We try to respond to reports within five business days.

  2. Streetlight Information

  3. Is the light on a wooden utility pole?*

  4. Are you reporting issues with more than one light?*

  5. Condition of light:*

  6. Reporter

    Information will not be shared. Leave blank if you wish to remain anonymous.

  7. Do you wish to be notified about repair status?

    The time it takes to complete repairs may depend on the severity of the issue.

  8. Leave This Blank:

  9. This field is not part of the form submission.