Streetlight Outage Form - Coast Electric Power Association

This form is for street light outages only and should not be used to report outages at your home or business.

Name
First Last
Member Number (Optional)
Number where you can be reached if there are questions*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
If the address is unknown, please give us directions so that we may better locate the problem light.
Is the light located
Is the light
Has the light been marked so crews can tell which light needs to be replaced?*
- Yes
- No
Is the light
Please estimate how long the light has been out.
Please offer any additional information or comments.
File Upload
Drop files here or

Accepted file types: jpg, pdf, xlsx, png, Max. file size: 12 MB, Max. files: 4.
If you have a photo or other information that is helpful in identifying the light that needs to be fixed, please upload it here.
Phone
This field is for validation purposes and should be left unchanged.