Service Type*
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Utility*
| Is this the utility that bills you for service each month?*
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Please enter the account number as it appears on your bill.*
| Is this service for your home or business?*
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Have you contacted us in the past for assistance?*
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What is the problem you are experiencing?*
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What resolution are you seeking?*
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What resolution did they offer to you?*
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Disputed Amount*
| Disputed Amount Explanation (50 character limit)
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