Title Page

MU E2148 Customer Violation Report/Form

Violations

  • Customer Name

  • Address
  • Meter #

  • Account # ___________________________ Phone #_____________________________

  • Violations reported/found:

  • Any additional violations found:

  • Pictures

  • Comments - low service wire, trees, dog, house for sale, etc...

  • Signature

Review

  • PSE Review: Admin Coord: ________________________ Date: ________________________ Letter sent: ________________________

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