Ascension Parish Residents Without Power
Please fill out this form in its entirety if you are without electricity at your home.
If/When your power is restored, please fill out this form again and check the "Power has been restored" check box.
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Today's Date *
MM
/
DD
/
YYYY
First and Last Name *
Phone Number *
Email
Street Number *
Street Name *
Zip Code *
Power Company Name *
Please let us know when power is restored by filling out this form again and checking the box below.
Additional Comments
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