• Utility Tampering Amnesty Form

    Use this form to self-report utility tampering, request amnesty, and provide the information needed for follow-up and service resolution.

  • Reporter Information

  • Preferred Contact Method*
  • Format: (000) 000-0000.

  • Tampering Disclosure

  • Utility Type Involved*
  • Reporting Status*
  • Immediate Safety Concerns or Outages?*

  • Amnesty Request and Authorization

  • Reason for Requesting Amnesty*
  • Request Assistance to Restore Service and Regularize Account?*
  • Preferred Follow-Up Method*
  • Should be Empty:
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