Street Light Repair Request Form

To report street lights that are out or need repair, please complete and submit this form. It is pre-addressed to arrive at the correct destination when you click on the Submit button below.

Repairs will be completed in 10 to 15 working days. If repair has not taken place after 15 days or you want to speak to Street Transportation Department staff during normal business hours or leave a message, call (602) 495-5125.

LOCATION OF STREET LIGHT*
STREET LIGHT POLE NUMBER:

(Pole number is located 6 to 10 feet up from bottom of the pole; best method to identify pole needing repair.)
OR CLOSEST STREET ADDRESS NEAR THE POLE:

(example: 4756 W. Polinta St.)

ADDITIONAL INFORMATION REGARDING THIS REPAIR REQUEST:


In the event we need to follow-up with you, please fill in as much of the following information as possible.

Your Name*:

Daytime Phone*:
(Use 10-digit phone number)

E-Mail Address:

*required field

Before you submit this e-mail form, we would like you to be aware of the City's policy on the use of its e-mail systems. The policy states that the e-mail message you are about to send: (1) is subject to public disclosure under the Public Records Law, (2) is not private or confidential and (3) is retained for one month.

Last Modified on 09/29/2008 14:17:12