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Reporting a Utility Box Damage


Date: *
Name:*
Section #:
Address:*
Phone #:*
Email Address:*
Does the damaged box present a hazardous situation such as broken or sharp metal, tipped or leaning box or wires exposed?:*
What is the address of the box that is damaged?:*
What is the Cross Street where the box is located?:*
What is the box number of the box that is damaged, if one is present?:
What is the location of the box on the property?:*
What is the issue?:*
If other, what is the problem?:
 

* indicates required field