Streetlight Complaint Form

2. Streetlight Problem Report

   Thank you for taking the time to assist us in locating streetlights that are malfunctioning. Please complete the form below so we can address the condition promptly. The Freeport line crew will work as quickly as possible to fix the streetlight.

   Thank you for taking the time to assist us in locating streetlights that are malfunctioning. Please complete the form below so we can address the condition promptly. The Freeport line crew will work as quickly as possible to fix the streetlight.

4. If you are reporting a hazardous/emergency condition, please call the emergency line at 516–378–0146.

   If you are reporting a hazardous/emergency condition, please call the emergency line at 516–378–0146.

6. Signal / Light Information

8. Location (Address or Cross Streets)*

9. Pole Number, if available

11. Brief Description*

12. Has this light been previously reported?

    1. Yes
    2. No

14. Attached Photo

16. Contact Information

18. First Name*

19. Last Name*

21. Address1*

23. Address2

25. City

26. State

27. Zip Code

29. Phone Number*

30. Email Address*

32. How should we contact you?

    1. Phone Number

    1. Email Address

Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field