Street lighting report form

If you would like to report a damaged street light, please answer the following questions.

Our contractor, Centre Great Ltd is required to repair faults in the following timescales:

- Regular faults within 4 working days of being notified

- More than 2 faults in an area within 2 working days of being notified

- Accidental damage where a street light is considered unsafe or where there is exposed electrical wiring, within 2 hours of being notified

Fields marked with * are mandatory

Please give details of the location
Street / Road*
Where is the light in this street or road? (e.g. outside a specific address)
Location*
Town / District
Each street light has a specific reference number / lamp ID
Ref No / Lamp ID
What is the nature of the problem?
Details*
If Other, please give details
Other details
Has the fault been caused by an accident or vandalism?
Answer
If caused by an accident or vandalism, please note any details available (e.g. name of the driver, time of the incident)
Details
Your contact details (optional)
Name
House No. / Name
Street / Road
Postcode
Tel
Email