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Required fields are marked with asterisks (*)

Report A Malfunctioning Street Light

1. Your Contact Information

We will require some basic contact information to process your request in the event that we need to follow-up, request additional information, or report on progress. All contact information fields are required.

First Name

Last Name

Phone Number

Re-Enter Your Email

2. Streetlight Location & Additional Information

Additional information may be required to handle your request. Any required fields are labeled with a red asterisk (*).

Location of Malfunctioning Streetlight

I can provide the exact address

I can provide the nearest intersection

I know the streetname, but not the house/street number

What Is The Streetlight Pole Number (if known) ?

Details & Additional Information

Collection of personal information

Personal information on this form is collected under the authority of Section 10(1) of the Municipal Act, 2001, S.O. 2001, c.25, as amended and will be used to contact you concerning your service request/inquiry to the City of Brantford. Questions about this collection should be directed to:

City of Brantford
58 Dalhousie Street
Brantford, Ontario N3T 2J2
Telephone: 519-759-4150
Email: For questions specific to the collection of personal information.