Pedestal Installation Form

Pedestal Installation Form

* Indicates required fields

Date:

Location/GPS Information

Do you have an approximate address?*

Look up your latitude and longitude and Community Board Number/District (Will open in new tab.)
(This link will open a new tab. Please make sure to return to this page and type in your Latitude and Longitude values.)


Pedestal Review

Dimensions


Area (in Square Feet):

Nature of Site *

Electronics to be placed in proposed pedestal*


Potential off street locations and reasons for rejection



Site Criteria


Before uploading, make sure that all the documents you are sending are appropriate and relevant to the service request to which they are to be attached.