Temporary Holiday Lighting Registration Form

Business Improvement Districts, local development corporations, and other groups may register to install temporary holiday lighting attached to NYC street light poles for a period of sixty (60) days.

Prior to any installation, the organization must complete the registration form below.

Contact Felicia Tunnah, Director of Operations Planning at NYC DOT at ftunnah@dot.nyc.gov or 212.839.3330 with any questions regarding the registration.

Sponsoring Group Information

Contact Name

Organization/Company Name

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Electrical Contractor Information

Contact Name

Company Name

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

NYC License Number

for the Electrical Contractor

Installation Details

Location of Installation

Provide main and cross street of each blockface. May also include nearest in-front-of street address for the light pole.

Number of Light Poles in Use

Total Connected Electrical Load

Date of Installation

Date of Removal

The installation timeframe may not exceed 60 days.

I agree to use inline fuses and conform with all NYC electrical codes.

Signature

Sign above

If you cannot access the signature box above, please type your initials