Testville Light and Water Utility

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We appreciate your assistance in making Testville a safer place for pedestrians, traffic and the community.

If you see a city street light out, please submit the form below. Testville Utilities will take the appropriate action to make sure the light is replaced in a reasonable amount of time.

*Name

*Daytime phone number

*Evening phone number

Mobile phone number

Email address

Location of problem

*Exact or closest address and/or street name

Directional location of pole (east, west, north, south side of street)

Pole number (if applicable)

*What type of problem are you reporting?

Single light out	Open, broken or missing light fixture
Multiple lights out	Damaged pole
Light cycling on and off	Exposed wires
Light flickering	Lights blocked by trees
Light on during daylight hours	Other
Broken glass

Any other specific information

*To help reduce spam, please answer this math problem:
2 + 2 =

*Required fields: this information is required because the utility may need to contact you to confirm all or part of this report.