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2. If there's a streetlight out in you neighborhood, please report it to us by completing and submitting the form below. It's important you provide the:

   • Location of the streetlight
   • Nearest cross street
   • Pole number (usually located on a metal strip attached to the pole; not all pole may have this metal strip)

   Please note: If you are reporting more than one streetlight outage it's important you complete and submit a separate form.

4. First Name*
5. Last Name
7. Email
8. Confirm Email
10. Street Address Nearest to Pole*
12. COG Number*

    The 4 digit number in white lettering on black background on light post.

13. Pole Number (if Available)
15. Location of Pole*

    (e.g. 2 poles from the intersection of Main Street and Maple Avenue)

17. Nearest Cross Street*
19. The light is:*

    1. Off
    2. Always On
    3. Flickering
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field