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Form: Street Light Repair

Please use the following form to submit information to City Departments.

Please use the form below to submit a work order request to The City of Orange City Public Works Department in regards to a street light repair or outage.

Please be aware, we can only respond to areas that are located in the incorporated city limits.

Customer Name
Customer Address
Daytime Phone Number
E-mail
Address Nearest to Light or Cross Streets and Direction light is towards.
(if at intersection)
Pole Number (if available)
Problems with Light Off all the time
On all the time
Cycling on and off
Multiple lights affected
Broken Globe
Other - describe below
 

Enter the code below into the box as it is shown  then press Submit (required):


                   



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