Damage Report Form

Please do not use the Damage Report Form to report outages. To report an outage, please call or text “OUT” to (800)388-9881, or by using the SmartHub app.

Comments

This field is for validation purposes and should be left unchanged.

Is your power out?

Account Name

First Last

Would you like to be called regarding this request?

Preferred contact method

Contact Name

First Last

Phone Number

Email Address

Service Address/Physical Location

Street Address Address Line 2 City State ZIP Code

Number on the equipment

Describe damages

Is access an issue? Please describe (i.e. animals, locked gates, etc.)

Where is your well and/or septic located?

Please upload a photo of the damage and location, if it is available.

Attachments must be under 14MB in size for submission. Please resize, or provide an alternative file, and try again.

Max. file size: 14 MB.

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