Streetlight Repair Form

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September 7, 2010

Customer Service

Multi-Unit Developments

Third Party Developments - URD Turnkey

Streetlight Repair Form

Use this online form to report a street light problem. Please note that in order to process this online request, you will need the service location of the street light.

If you prefer, you can call our customer service team toll free at 310-WIRE (310-9473).

Please note the items in red are required to help us process your request.

Problem Type:

Provide a brief description of the problem:

Service Location (Please complete one of the following sections)

Lot:
Block:
Plan:
Municipality:	(Town, Village, City)
(to find out your Lot, Block, and Plan information, click here.)

Town/City:
Street Address:

Legal Description

(eg. NW 06-30-27-4)

Contact Information
First Name:	Last Name:
Area Code:	Phone Number:
Company:
Email Address:
PRIVACY STATEMENT Submission of this form is your consent to collect and use the information necessary to establish a business relationship. Fortis collects and uses personal information about customers to establish and manage the relationship necessary to provide electricity distribution services. Fortis is committed to complying with the privacy legislation that governs how personal information must be managed and protected. Fortis' complete Privacy Policy can be found at http://www.fortisalberta.com/privacy.html
To submit multiple requests without having to fill out the entire form again, please follow these steps: After submitting the form for the first time, hit the back button and the information that you submitted will still be on the page. You can then make any necessary changes and hit the submit button again. Please note that if you reload the form or if you turn off your computer and return to the form at a later time, the old information will not reappear and you must fill out the form again.

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