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Service Request Entry - Street Light Pole Damage

Please complete as much information as possible and click the Review button.

( ** Mandatory fields have red labels. )


Supporting Information

Is this a Street Light Pole or Traffic Signal Pole?
If Traffic Signal Pole, STOP request and call 311 directly to report Traffic Signal Out.
Is the pole down or leaning?
Is the pole blocking the street?
Has fallen pole caused personal injury?
Has fallen pole caused property damage?
Are Chicago Police on the scene?
Optional: Note any additional information about request.
Input cell # to opt-in for text updates. If opted-in, add cell # to caller info.

Caller / Contact Information
First Name Last Name
Street Address
Address 2
E-Mail Address
Contact Type Contact Number   Extension/Comments