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Electric Department Job Request Form
Requests for the Electric Department to perform general maintenance can be made by completing the following information.        

Choose from the following:
CheckboxesCheckbox DescriptionCheckboxesCheckbox Description
Street Light Out
Broken / Damaged Utility Pole
Flickering Lights
Low Voltage
Rental Light Out
Tree Limb on Utility Line
 
 
Please provide the following information:
Field DescriptionField DataRequired Field
required
required
required
required
 
 
required