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Get Street Light Shield Request Form
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How to fill out the Street Light Shield Request Form online
Filling out the Street Light Shield Request Form online is a straightforward process that ensures your request for a street light shield is properly documented. This guide will walk you through each section of the form to help you complete it accurately and efficiently.
Follow the steps to complete the Street Light Shield Request Form.
- Click 'Get Form' button to obtain the form and open it in the editor.
- Enter your name in the 'Applicant Name' field. This should be your full legal name as the requester of the street light shield.
- Provide your complete address in the 'Applicant Address' section. This helps identify where you are located in relation to the street light.
- Fill in your contact information, including your phone number and email address. This ensures that the Streets Division can reach you if additional information is needed.
- Specify the pole number or the location of the street light for which you are requesting the shield. Accurate details will facilitate your request.
- Indicate the date you are submitting the form. This is important for processing your request in a timely manner.
- Explain the reason for your shield request in the designated field. Be clear and concise to support your request effectively.
- If your residence is within 100 feet of the street light, gather signatures from your neighbors on the back of the form, as their approval is required for the request to proceed.
- Review all information for accuracy before finalizing the form. Ensure every required field is filled out correctly.
- Once completed, save your changes. You can then download, print, or share the form as needed before submission.
Complete your Street Light Shield Request Form online today!
​ Philadelphia: Call 3-1-1 Street lights in the city of Philadelphia are owned and maintained by the city. If a street light in the City of Philadelphia is out, please call 3-1-1.
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