Report a Concern

2. Name*

4. Service Address*

6. Phone Number*

7. Email Address

9. Type of Request*

   1. During Business Hours (M-F 8am-5pm)
   2. After Hours

11. Department Concern

    1. Electric Outage
    2. Electric Billing or Account Questions
    3. Water Emergency
    4. Water Billing or Account Questions
    5. Sewer

    1. Garbage
    2. Cable TV
    3. Internet
    4. Street Light Outage
    5. Other

13. After Hours Department Concern

    1. Electric Outage
    2. Electric Billing or Account Questions
    3. Water Emergency
    4. Water Billing or Account Questions
    5. Sewer

    1. Garbage
    2. Cable TV
    3. Internet
    4. Street Light Outage
    5. Other

15. Please provide details of your concern*

17. If this is a life or death emergency please call 911.

    If this is a life or death emergency please call 911.

19. If this is an issue that needs immediate attention please call 903-457-2800.

    If this is an issue that needs immediate attention please call 903-457-2800.

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20. 1. Receive an email copy of this form.
21. Email address

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22. Submit

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