Airport Terminal Lighting Maintenance Request Form
Report any lighting issues in the airport terminal to ensure a safe and well-lit environment. Please provide as much detail as possible.
Terminal/Area
*
Please Select
Terminal 1
Terminal 2
Terminal 3
Baggage Claim
Security Checkpoint
Gate Area
Restrooms
Concourse
Parking Garage
Other
Specific Location (e.g., gate number, hallway, or area details)
*
Type of Lighting Issue
*
Light not working
Flickering light
Dim light
Broken fixture
Exposed wiring
Other
Fixture or Asset ID (if available)
Describe the Issue
*
When was the issue first noticed?
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How urgent is the issue?
*
Critical (safety risk)
High (affects operations)
Moderate (needs attention soon)
Low (minor inconvenience)
Has this issue been reported before?
Yes
No
Not sure
Upload a photo of the issue (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Your Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Submit Request
Should be Empty: