Utility Shutoff Threat Communication Log (PDF)

Record utility reps, promised actions, and shutoff dates so you have proof of every conversation when you need to dispute or escalate.

Utility shutoff threat details

Document every call or message related to a shutoff threat.

Customer name

Account number

Service address

Capture dates, reps, promises, and shutoff deadlines.

Date

Utility name

Contact method

Representative

Summary

Threatened shutoff date

Notes

Download a detailed PDF log to share with regulators, assistance programs, or legal help.

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