What is the status of the street light?
                                        
                                        
                                        
                                            Is there visible damage to the light or pole?
                                        
                                        
                                        
                                            If yes, please describe the damage(50 character limit)
                                        
                                        
                                            
                                        
                                        
                                            Enter Pole Number if known
                                        
                                        
                                            
                                        
                                     
                                    
                                        
                                            Energy and Water theft Reporting
                                        
                                        
                                            Address where energy or water theft is occurring
                                        
                                        
                                            
                                        
                                        
                                        
                                            Description of how and when electricity or water is being stolen
                                        
                                        
                                            
                                        
                                        
                                        
                                            Date energy theft initially began (if known)
                                        
                                        
                                            
                                            
                                        
                                        
                                        
                                            Name of person committing energy theft (if known)
                                        
                                        
                                            
                                        
                                        
                                        
                                            Address of person committing energy theft (if known)
                                        
                                        
                                            
                                        
                                        
                                        
                                            Occupation of person committing energy theft (if known)
                                        
                                        
                                            
                                        
                                        
                                        
                                            Other participants, or information SUS should be aware of
                                        
                                        
                                            
                                        
                                        
                                             
                                        
                                        
                                            Reporting Party Information
                                        
                                        
                                            You would like SUS to contact you, please fill out the following:
                                        
                                        
                                            Your Name
                                        
                                        
                                            
                                        
                                        
                                        
                                            Your Address
                                        
                                        
                                            
                                        
                                        
                                        
                                            Your Telephone
                                        
                                        
                                            
                                        
                                        
                                        
                                            Your Email
                                        
                                        
                                            
                                        
                                        
                                            Your Relation to Suspect:
                                        
                                        
                                            
                                        
                                        
                                            To receive a copy of your answers, please fill out your email ID below and
                            submit
                                        
                                        
                                            Email ID