Utilities Contact Form

2. Issue and/or Inquiry*

   1. Billing / Payment Issue
   2. Open New Account
   3. Close My Account

   1. Medical Priority
   2. Street Light Outage or Issue
   3. Website Feedback

   1. Electric Upgrade
   2. Tree Trimming
   3. Other

4. Comment and/or Question*

   *When reporting a street light outage, please make sure to include the following information: (1) the address of the street light (the nearest cross street is also helpful), (2) the pole identification number if apparent, (3) and the nature of the problem (light turns on and off, light never turns on, light always on, etc.). -Thank you

6. Name*

7. Email*

9. Street Address*

10. Town / City, State, ZIP*

12. Phone Number*

13. Account Number

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14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

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