Street light outage form

Address

Town/City

Name of Subdivision (if applicable)

Light type

Number on pole (if applicable)

You can usually find the CHELCO street light number on the bottom of the pole.

Location of private area light (if applicable)

What is wrong with the light?

Will we need to call for access to your property?

Yes

No

Contact information/phone number

Best time to call?

Email Address

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