Streetlights

Council*

Contact Name*

Phone*

Fax

Email*

Work Type*

Light Type Category*

Is Follow up Required?*

This form is only to be used for new streetlight fixture connection or change fixture on existing Streetlight installation, please submit a Public lighting application through the Connections Portal if a new Streetlight or a number of Streetlights installation is required.

Existing Light Fitting Type*

Wattage of Existing Lamp*

Upgrade or New Fitting Type*

Wattage of Lamp*

Fitting Diffuser

Shading Solution*

Shading Location

Reason for Shading

Street Address*

Suburb*

Postcode*

Pole Number or Pole IDs

Existing Structure Type*

Number of Lights*

Street Light Location*

Urgency*

Access*

Access Difficulties

Access Arrangements Required

Environmental Issues

Is Low Voltage Present on the Pole?*

General Comments / Other Information