Traffic Signal Service Request Form

Please complete the information below to submit a Traffic Signal Service Request electronically.

Name*
First Last
Home/Cell Phone*
Address*
Street Address Address Line 2
Email*
Enter the intersection*
Time of day the problem occurs:*
Day this problem occurs*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
- Other
Enter problem description below:*
Phone
This field is for validation purposes and should be left unchanged.

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