Form Center

2. Name*
4. Service Address*
6. Phone Number*
7. Email Address
9. Type of Request*

   1. During Business Hours (M-F 8am-5pm)
   2. After Hours
11. Department Concern*

    1. Electric Outage
    2. Down Power Line
    3. Electric Billing or Account Questions
    4. Water Emergency
    5. Water Billing or Account Questions
    6. Sewer

    1. Garbage
    2. Cable TV
    3. Internet
    4. Street Light Outage
    5. Other
13. After Hours Department Concern*

    1. Electric Outage
    2. Down Power Line
    3. Electric Billing or Account Questions
    4. Water Emergency
    5. Water Billing or Account Questions
    6. Sewer

    1. Garbage
    2. Cable TV
    3. Internet
    4. Street Light Outage
    5. Other
15. Please provide details of your concern*
17. Attach a Picture
    Do NOT go near downed power lines or poles. If you would like to include a picture of your concern please make sure you are taking it from a safe distance.
19. If this is a life or death emergency please call 911.
21. If this is an issue that needs immediate attention please call 903-457-2800.
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

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