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Name:

Unit:

Phone Number:

E-mail Address:

Preferred Contact Method:

1.  What is not working?
> Have you checked the breaker box?
> Which sockets?
> Which lights?

2.  If the kitchen receptacles are not working...
> Have you tried resetting the GFI outlet above your kitchen sink (red button on the receptacle)?
 Yes    No

3.  If the bathroom receptacle is not working...
 > Have you tried resetting the GFI outlet above your bathroom sink (red button on the receptacle)?
 Yes    No

4.  Do your neighbors have electricity?

5.  How long has the electric been out?

Please Specify The Problem:

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900 West Tulsa Street
Siloam Springs, Arkansas
Phone: 479.524.4060      Fax: 479.549.9646