Streetlight Service Form

This form is a fast and easy way for you to report streetlight problems.

For streetlight service requests, please fill out and submit the form below. The information provided will be forwarded to the streetlight utility provider for your area. Most streetlight repairs will be made by the utility provider within 10-15 days. However, some repairs may require additional time.

Requests may also be made directly with Southern California Edison at 800.611.1911 or use their website.

Your Contact Information
Please provide the following contact information so that we can get in touch with you should we have any questions about the street lights that you are reporting.
Name:
Address:
City & ZIP	ZIP:
Phone:	Home    Work     Cell
Email:
Streetlight Needing Service
Street	Direction... North South East West
Nearest cross streets	and
Pole number	(on a metal strip attached to the pole)
Additional info about the light:
Enter the code as it is shown:
	Entering this code helps prevent fraudulent/false use of this form.