Electric System Damage Report Form

Electric System Damage Report Form

This form is for reporting electric system damage only. If you are experiencing a power outage, please call 256-737-3200 or use another option found at cullmanec.com/report-outages. If it is an emergency, please call 911.

Service Address, Meter Number, and Account Number

Please enter your service address. Also known as your 911 address. 

Please enter your meter number. This can be found on the electric meter connected to your home. 

Please enter either your service address/E-911 address, meter number, or account number. We need ONE of these to identify your location, but you do not have to do all three.

Photo of Electric System Damage

Please upload a photo of the electric system damage if you can get a photo safely. A photo is the biggest help in identifying potential problems and hazards for members and lineworkers. 

One file only.
20 MB limit.
Allowed types: gif, jpg, png, svg.
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