Lakewood Police Department

dbrower@lakewoodpolicenj.com

231 Third Street, Lakewood, NJ, 08701, US

732-363-0200

Street Light Repair Form

Full Date

Month

Day

Year

Pole Number:

Address:

Proximity to Address:

Street Light Issue:

Stays On

Won't Turn On

Flickering

Dim

Other Issues:

Broken Glass

Hanging

In Danger of Falling

Exposed Wires

Other

Comments:

disregard this