Forms • County of Humboldt • CivicEngage

Skip to Main Content

Website Sign In

Traffic Signal / Street Light Complaint

Leave This Blank:

Brief Description*

Problem Location

Complaint applies to

Traffic Signal

Street Light

Street Number:*

Street Name:*

Address Line 2:

City:*

State:*

Zip Code:

Photograph:

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

Your Information

Name:

Street Number:

Street Name:

Address Line 2:

City:

State:

Zip Code:

Phone Number:

Fax Number:

Email Address:

Preferred Contact Method:*

* indicates required fields.