Street Lights—Permanent Removal

Use this form when permanently removing 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 #?

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

Badge # Street Address or Physical Location Description

Has light been removed?

Date light was removed or Requested Disconnect Date

Additional Comments optional

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—Permanent Removal

Account Info

Street Light #1

PLEASE NOTE: