Street Lights—Lamp Type/Wattage Change

Use this form to report lamp type/wattage changes to existing City/County owned street lights.

Bold Fields Required

Account Info

Account Numberoptional(1234567891) City or County Name Contact Name Email(john@smith.com) Confirm Email Phone
Ext.Please enter a valid 3-digit number for Area CodePlease enter a valid 3-digit number for City CodePhone number is required OR needs to be a valid 4-digit number Total Count of Lights (Maximum 25)

Street Light #1

Where do I find the Badge #?

Badge #Comments optional

PLEASE NOTE:

No abbreviated street names, no dashes - no lot numbers. The first word should always be the name of the street upon which the light is shining. See examples

Street Address or Physical Location Description

If "Other" selected, please indicate number of hours in whole or half-hour increments up to 24 hours per day.

Burning Time HoursNumber of Hours (examples: 2, 4.5, 10)optional Lamp Type (existing)Wattage (existing)

Lamp Type (change to)Wattage (change to)Wattage (change to)

Installation Date

I hereby represent by submission of this request that the information provided is accurate and that I am authorized to submit this request on behalf of this Governmental Agency.
This field is required

Pacific Gas & Electric - PG&E

Street Lights—Lamp Type/Wattage Change

Account Info

Street Light #1

PLEASE NOTE: