AGL Neighborhood Lighting Maintenance and Repair Request
ORGANIZATION INFORMATION
Organization requesting lighting
Contact Person
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
NEIGHBORHOOD INFORMATION
District and Supervisor
Neighborhood
MAINTENANCE NEEDED
Maintenance Location ( List full distance - street name, number of blocks, etc)
Please provide photos of needed work
Browse Files
Drag and drop files here
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Problems needed to be fixed
String lights down
Individual bulbs broken or burnt out
Lights wont turn on or off
Lights turn on and off at wrong time
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