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2. This is only to report a streetlight out in your neighborhood. If you have a concern about a traffic signal, Please visit Oakland County's Website

4. First Name*
5. Last Name
7. Phone Number*
9. Location of Light (Address or Intersection)*
11. Cross Streets*
13. Is the light cycling (on/off)?*
    -- Select One --YesNo
14. Is the light broken?*
    -- Select One --YesNo
16. Comments
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field