Submit an Outage
To submit an outage, please fill out the form below.
Outage Types
*
Cycling (on & off)
Dim
Globe Broken
Globe Leaning
Knock-down
Leaning Pole
Lens Broken
Other
Outage
Steady burn (Light never turns off)
Wires Exposed
Pole Location
*
Please enter some information about the pole location
(Nearest Street Address/nearest intersection )
Comments:
Name:
*
Required
Email:
*
Valid email required.
Valid email required
Phone #:
Required
(XXX-XXX-XXXX; optional and recommended)
Poles Zip Code:
Montgomery County Zip Code Required, where the pole is situated, starts with 20XXX or 21XXX
(2XXXX or 2XXXX-XXXX; optional and recommended)
Light Pole #:
(Optional, only if you see the number on the pole)
* Required Field