Initiator Contact Information


Area Cd. Phone Ext.

Error Information


(e.g. 0040483120001)
(e.g. 868460536 for Site level errors)

Investigator Contact Information
(if not LSA)


Area Cd. Phone Ext.

Affected Parties (if known)


Area Cd. Phone Ext.

Original data and background information regarding error (including $ and kwh estimates)
Please note, all the fields are required, unless indicated.