Please use this form to report a traffic signal or street light outage to the Public Works Department. To ensure that City crews are able to locate the malfunctioning signal or light, please enter as much information as possible. Please contact the City Services Center at 608-755-3110 with any questions or to report the malfunction over the phone.

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1

I am reporting an issue with a...

 *

I am reporting an issue with a...

Street light

Traffic signal

2

If reporting a street light malfunction, please describe the location using the terms below. Preferred: Intersection of X Street and Y Street. Preferred: Address of X. Less preferred: Describe the location (e.g. Milton Avenue approximately 300' north of Lexington).

If reporting a street light malfunction, please describe the location using the terms below. Preferred: Intersection of X Street and Y Street. Preferred: Address of X. Less preferred: Describe the location (e.g. Milton Avenue approximately 300' north of Lexington).

3

If reporting a street light malfunction, please mark the choice that best describes the issue:

If reporting a street light malfunction, please mark the choice that best describes the issue:

Always off

Always on

Cycling on & off

Other If other, type text here.

4

If reporting a traffic signal malfunction, please mark the choice that best describes the issue:

If reporting a traffic signal malfunction, please mark the choice that best describes the issue:

Light out

Stuck on red

Walk button doesn't work

Other If other, type text here.

5

If reporting a traffic signal issue, in which direction were you traveling?

If reporting a traffic signal issue, in which direction were you traveling?

Northbound

Southbound

Eastbound

Westbound

6

If reporting a traffic signal issue, on which side of the street is it located (if applicable)?

If reporting a traffic signal issue, on which side of the street is it located (if applicable)?

Right

Left

7

If reporting a traffic signal issue, on which street and cross street were you traveling on?

If reporting a traffic signal issue, on which street and cross street were you traveling on?

8

If reporting a traffic signal light as out, which type of light is out?

If reporting a traffic signal light as out, which type of light is out?

Green

Yellow

Red

Walk

Don't Walk

9

If reporting a traffic signal light as stuck on red, which type of light is it?

If reporting a traffic signal light as stuck on red, which type of light is it?

Thru (Ball)

Arrow

Pedestrian (walk/don't walk)

10

Please leave any other comments that might help our crews identify and locate the traffic signal or street light malfunction.

Please leave any other comments that might help our crews identify and locate the traffic signal or street light malfunction.

11

Contact Information. If there is a problem with your request, City staff will contact you if you wish to provide your information. (Optional)

Contact Information. If there is a problem with your request, City staff will contact you if you wish to provide your information. (Optional)

Name

Phoneext.

E-Mail

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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