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Welcome to the Village of Grayslake's online Request for Service System.
Today is Wednesday, May 24, 2017.
Street Light Out

Purpose. Use this form to report a street light that is out or not operating properly.

* Information is required.

Contact Information

* First Name:
* Last Name:
Business Name:
Email:
* Daytime Phone: (
Fax: (
* Address:
City:
State:
ZIP:

Street Light Location (nearest address):

If the address is the same as above, please reenter the address here.

* Address
   
- Or Other Not Listed -

Invalid Address

The address you entered does not match any in the system. You can select a valid address from the list, or if you are certain the address you entered is correct click the "Use the address I entered" button, to continue.

The address you entered
 
Unit: 
  Provide any additional information on the location in the box below.

Describe the problem...
 
Check here to have email confirmation of this submission.

* Information is required.

Notes:

Upon submitting a request, you will receive a tracking number which may be used to follow up with your request at a later date. If an email address is provided, you may choose to receive a copy of your request via email which includes this tracking number.

Information we receive may be considered public information which is subject to disclosure under current state law. Learn more about our Privacy Policy.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.

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