Printable/Faxable Street Light Outage Report Form
Please report information to: Michele. Fax: 518.471.7460 Phone: 518.433.3548

Provide the following information:

Customer Name:


Submitted by:


Phone number:


Location of pole:


Pole number:


Light out:


Light goes on and off:


Light on 24 hours:


Light Damaged:


Pole Damaged:


Additional comments:




Niagara Mohawk is a National Grid Company