Streetlight Maintenance Request Form

Please fill out as much information that you can provide in order to know exact location and problem.

Note: It may take a few weeks before light can be repaired.

Actual Streetlight Outage Location/Address:

Problem:

Lights are on during the day Light not on at night

Light keeps going on or off Broken Glass or Lens

Other:

Name:

Contact Phone Number:

Email:

Additional Information/Comments:

Please provide a contact name & number in case we need additional information to locate and fix the streetlight.

You may also call the Village Hall at (708)481-8950x147