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Utility Outage Request
   

Utility Outage Request
Please allow for 72 hours notice



Is this a
Rescheduled Outage?
Date of Outage:  
Outage Begin Time: 
Outage End Time:
Building: 
Outage for more than one building?
Area of Building Affected:
Outage type:  
Assistance of an electician requested? If yes, explain in Description below
Assistance of a plumber requested? If yes, explain in Description below
Description: 
Reason for Outage: 
Emergency:
Requestor: 
Requestor Phone: 
Requestor Email: 
Cost Center Number: 
Other possible time(s) outage can be scheduled:



   
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