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Electric Department

Outdoor Lighting Repair Form

Use this form to report an outdoor light that is not working. If there is a hazardous condition such as a wire hanging low or lying on the ground, please call us immediately at (704-866-6823).

* Indicates required fields

*Where is Outdoor Light(s) Located:

At Your Home
Along a Street or Roadway
At A Business

*Nearest Street Address of Light(s):

*Number of Light / Problems	*Directions to Light(s) (To ensure prompt service, please provide specific directions from main road or intersection and temporarily identify the pole with tape or ribbon):
Never On
Burns Continuously
Cycles on and off
Damage/Other

Additonal Details about Damage/Other

Special Instructions:(Special Instructions eg Beware of dog; Need key for access)

Contact Information

*First Name:		Initial:
*Last Name:
*Mailing Address:
*City:		State:
*Zip Code:
*E-mail Address:
*Daytime Phone: