Street Light Outage Form

2. Power Outage
   If there is a power outage, please contact the City Office at 620-345-8246 during business hours and 620-345-8800 after hours.
4. Contact Information
6. First Name*
7. Last Name*
9. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Phone Number
18. Email Address
20. Signal / Light Information
22. Complaint Applies to*

    1. Traffic Signal

    1. Street Light
24. Location Address or Cross Streets*
26. Brief Description of Problem*
Leave This Blank:


28. Submit Submit and Print

* indicates a required field