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STREET LIGHT FORM

If you'd would like to monitor the status your request(s),
please use our convenient CDM Self Service Application .

Please use the form below to report any issues regarding street lights.
Please include your address and phone number as a part of your request so that we may contact you with our findings and pending action.

 
General Information
(red indicates required fields)
First Name:
Last Name:
Address:
City:
State:
Zip:
 
Phone:
E-mail:
 
Date Entered:
 (DD/MM/YYYY)
 
Street Light Location Information
Location type:
(Select One)
 
House Number

(if available)
Street Name:

(i.e. Robert D Ray Dr.)
Side of Street:
Cross Street:
(if available)
 
Message:
(Please include any information that my help in locating the Steet Lamp
i.e. across from business, church or residence)
   
 

Should we contact you?

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Yes
   
 
 


 

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Engineering
City Hall
400 Robert D Ray Drive
Des Moines, Iowa 50309-1891
Phone: (515) 283-4920   Fax: (515) 283-4112
E-Mail: Engineering
Web Site: www.dmgov.org

  
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