Details General Enquiries fieldset_1 Full Name Contact Number Email fieldset_2 Request Details button-holder * - required fields Report a Faulty Streetlight * - required fields Streetlight details Type of Fault Single street light not working Bank of street lights not working (two or more in a row) Street light(s) on during the day Streetlight(s) Number Streetlight(s) number are on metal plate located about head-height on the pole. Street Number If known, please identify the closest street number to the faulty streetlight(s). Street Name Please identify the street on which the faulty streetlight(s) are located. Suburb/Town If on a major road please also include the nearest crossroad if known? Additional Information Your contact information Full Name How would you like to be contacted? Phone Email Contact Number Email button-holder
