Streetlight Service Request

Please use the form below to report a burned out, defective, or non-operating streetlight found in the City of Burbank. All items with an asterisk (*) are required.

Streetlight Location:(*)

Please provide the streetlight location.

Cross Sections:

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Streetlight Problem:(*)

Please select streetlight problem.

If Other Problem, Please Specify:(*)

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Streetlight Number
(See Example)

No input

Upload Files - Files should be uploaded either as a JPG, PNG image file and not exceed 3 MBs.

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We may need to contact you for help if we need additional information. Please provide:

Full Name:(*)

Please type your first name.

(*)

Please type your last name.

Your E-Mail:(*)

Please type your email address.

Your Phone:(*)

Please type your phone number.

Phone Type(*)

Please select phone number type.

Help Us Fight Spam(*)

Please select the captcha.