Outage Change Request (NAP Team)

Planned Outage Change Request
Retailer Details
Name of Retailer
Retailer email address*
Email is required for Powerco to reply
Customer Details
ICP #
Consumer Number
Customer Name
Installation Address
Is this customer a business?*

YesNo
Planned Outage Details
Planned Outage Date

MonthDayYear
Date
Planned Outage Start Time
Planned Outage End Time
Planned Outage #*
Reason for request
Example: Major event affected, school affected, etc.
Requested change
Example: Change of outage date or time
Should be Empty: