Report Energy Theft or Meter Tampering
* required information

Please report any energy theft or other type of meter tampering:

* Street address where incident took place Apt/Lot/Unit * City State Zip Code AZ

Is this a Home, or Business?

What are the names of the occupants?

What type of theft was committed and how was it done?

When did the theft take place? Date:   Time:

Did you observe the incident?Yes No

If you choose to provide your name, address and phone number, it will be held in the strictest confidence.

* May we contact you for further information if necessary? Yes No

Your name

Your phone number (with area code) --

Your e-mail address (such as: username@aol.com)

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