E-Gov Services City of Piqua

Report Street Light / Security Light

Purpose. This form is used to communicate with city personnel to report issues with street lights and security lights.

* Information is required.

Contact Information

Issue/Problem Location:

* 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 problem location in the box below.

Nature of the complaint/suggestion...

* Is this Street Light or Security Light issue?

Street Light

Security Light

Not Sure or Other

Where is the light located on the property? If the light is at an intersection, which corner is the light pole located (N,S,E,W)?

* What is the Light doing?

What time of day did you notice the light not working properly?

Attach a Picture or File (max size: 30MB):

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Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

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