JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Electrical Panel/Outlet Issue
Be sure to work through all the provided information on our website to avoid an unwarranted service call fee. If the vendor goes out and only has to flip on and off a breaker/replace a fuse you can be subject to paying that fee.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Tenant Name
*
Your answer
Property Address
*
Your answer
Current Cellphone #
*
Your answer
Choose from the following issues
*
The panel is sparking
The panel has no power
There is limited Power to parts of the house
An outlet is sparking
An outlet is not working
Other:
If you selected an issue with an outlet where is the outlet located. Be specific, (Example Right bedroom, left bedroom, den close to window ect)
*
Your answer
Provide additional details you deem necessary to complete the repair
*
Your answer
IMPORTANT
If you have another repair not related to this item please go back to the website and select the link for that item. Do not add it on to this repair. Upon submission of this form if you have pictures that you feel will be helpful in addition to the description above you can send them to 252- 468-0660. Stand alone text repairs will no longer be accepted.
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
