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Power Outage Consent Form
Integrum Power Group
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Power Outage Consent Form
Power Outage Consent Form
Tenants Details
Please fill out the form and sign using a smartphone, a tablet or your mouse.
First Name
Last Name
Full Address
Power isolated on date
From (Time)
To (Time)
Acknowledgement
I
of
give consent for power to be isolated on
between the hours of
-
Signature
Sign Here
Submit