Meter Repair Report Form
Please complete all sections to accurately document the meter repair job.
Customer or Site Name
*
Site Address or Location
*
Meter Identification Number
*
Type of Meter
*
Please Select
Electric
Water
Gas
Other
Reported Problem Description
*
Details of Repair Performed
*
Parts Used (if any)
Service Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Service Time
*
Hour Minutes
AM
PM
AM/PM Option
Technician Notes and Completion Status
Submit Report
Should be Empty: