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Provide the following information so that we may contact you, if needed, about your report. All fields with an asterisk are required.

Personal Information

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For example : 4155551212
I am a City/County/Other Government Agency EmployeeRequired
Choose best description of situationRequired
Streetlight Information #1
(located seven feet from bottom of pole)
(e.g. 2nd pole from NE corner of 7th st & Main st)
The light is (check all that apply)Required
Is the light difficult to access? If so, please describe any accessibility issues

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