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Bill Inquiry with Meter Photo

We are offering a new service called Bill Inquiry with attached Photo Meter Read which allows you to submit a photo of your meter for quicker service.


Contact Information

(xxx-xxx-xxxx)

Service Address

(xxxxx or xxxxx-xxxx)

Please attach a photo of your meter. Submit "gif" or "jpg" files only.*


Date Photo Taken:*(mm/dd/yyyy)

Detailed Explanation of the Problem*

Validation Image *

Please type the characters you see in this image in the space provided below (case insensitive).

Validation Image Reload
Image
 What is this?

 Note: * Items are required

 


good meter
Good Example

meter bad
Not a good example