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.

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.

Max. file size: 100 MB.

Name

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