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2. Thank you for notifying the city about a streetlight issue. We try to respond to reports within five business days.
4. Streetlight Information
6. Pole 1
8. Pole number, if known.
   Use the city's interactive map to help located the streetlight number.
10. Location/Address
12. Additional location description (e.g., nearby intersection or landmark)
14. Condition of light:

    1. Light out
    2. Cycling on/off
    3. Lit constantly
    4. Lens missing, hanging, or broken

    1. Light dim
    2. Fixture damaged
    3. Pole broken, damaged, or leaning
    4. Other
18. Pole 2
20. Pole number, if known.
    Use the city's interactive map to help located the streetlight number.
22. Location/Address
24. Additional location description (e.g., nearby intersection or landmark)
26. Condition of light

    1. Light out
    2. Cycling on/off
    3. Lit constantly
    4. Lens missing, hanging or broken

    1. Light dim
    2. Fixture damaged
    3. Pole broken, damaged or leaning
    4. Other
30. Pole 3
32. Pole number, if known.
    Use the city's interactive map to help located the streetlight number.
34. Location/Address
36. Additional location description (e.g., nearby intersection or landmark)
38. Condition of light

    1. Light out
    2. Cycling on/off
    3. Lit constantly
    4. Lens missing, hanging or broken

    1. Light dim
    2. Fixture damaged
    3. Pole broken, damaged or leaning
    4. Other
42. Reporter
    Information will not be shared. Leave blank if you wish to remain anonymous.
44. Do you wish to be notified about repair status?

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

    1. Yes
    2. No
46. First Name
47. Last Name
49. Phone
50. Email
Leave This Blank:


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit

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