Street Light Outage - Nebraska City Utilities

Streetlight Problem Report

Please complete all areas of this form. Incomplete forms will delay the process time. All information given to Nebraska City Utilities will be confidential.

"*" indicates required fields

Name*

First Last

Date*

Phone*

Email*

Streetlight Location*

City*

Streetlight Problem*

Off

Flickering

Streetlight Damaged*

Yes

Pole Number*

Additional Information

Name

This field is for validation purposes and should be left unchanged.