Maintenance Request

To report a hazardous condition or a Power outage, please call 866-OUR-COOP.

We ask for your name and phone number in case we need more information to help fix the problem. Simply complete the form below then click on the submit button.

Your Information
Please provide the following identifying information. Required fields are demarcated with an asterisk (*).
Your Name*
First Last
Name on BREC Account
First Middle Initial Last
Service Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Your daytime phone number (with area code)*
Your mobile phone number (with area code)
Your Email Address*
Enter Email Confirm Email
Problem Description
Please describe the problem you are reporting.
What type of problem are you reporting?*
Select all that apply.
Is the problem light located to the front, rear, or side of the address?*
Have you marked or tagged the yard light for easy identification?*
- Yes
- No
Please describe the problem you are reporting in more detail:
Describe the Location
Please describe the address or closest address of the problem you are reporting.
Is this a commercial or residential address?*
- Commercial
- Residential
Subdivision Name
Location Address
- Location address is different than service address above
Location Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Location Description
If no address is available, please tell us the name of the street and which side of the street the light is on - North, South, East, or West. (For example: NW 1st Avenue, south side of street). Also, tell us the number of streetlights from the closest cross street, e.g., 3rd streetlight east of 1st Street).
Is there anything else you would like to add?
Comments
This field is for validation purposes and should be left unchanged.

Your Information

Problem Description

Describe the Location

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