Forms • Merced County, CA • CivicEngage

Street Light Service Request

Leave This Blank:

Online Roads Division issue reports are now submitted
through the County's SeeClickFix portal.

Reporting Party's Information

First Name:*

Last Name:*

Daytime Phone Number:*

Email Address:

Location / Problem:

Street Address:

City:

State:

Pole Number:

Description of Problem:*

	Light Cycles (turns on & off repeatedly)
	Dayburner (on 24 hours/day)

Comments:

* indicates required fields.