PLEASE USE THIS FORM TO REPORT AN OUTAGE Member Full Name Member Email Member Phone Number Outage Location Please provide us with the address or area where this outage has occurred. Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Date & Time of When Outage Began Date & Time of When Outage Began: Date Date & Time of When Outage Began: Time Would you like us to contact you when crews have been sent to your area? Yes No If so, what is the best way to reach you? Text Message (SMS) E-mail Phone CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.