Street Lighting Maintenance Request Please fill in the information below to submit a street lighting maintenance request. Contact InformationPlease note that we ask for your name and contact information in case we need more information to help fix the problem and/or to send you a response. We will not use the personal information you have submitted here for any other purpose. Name Your Address City Postal Code Phone Email Description of Problem Single Street Light Out Yes No Multiple Street Lights Out Yes No Light Cycling On and Off Yes No Light Flickering Yes No Light on During Daylight Hours Yes No Broken Glass Yes No Damaged Pole Yes No Exposed Wires Yes No Other, please describe Street Light LocationIf this is a BC Hydro Pole and you have the pole number, enter it here. For all non BC Hydro Street Lights, please fill out the following form to the best of your ability. The more information you can provide, the better. BC Hydro Pole Number Which subdivision is this light located in? - None -CrestviewFairway GreensHighlandsMountview What is the closest address to the light for which you are reporting the problem? Where is the problem light located in relation to that street address? Location Description If no address is available, please give us a good description of the location and the closest cross street or landmark. For example, south side of 123 Avenue, between 1 and 2 Street, third light west of 123 Street across from a fire hydrant. Additional Comments Please add any additional information you would like to add. Reply to Email Address * Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.