Current date & time: 4/24/2014 10:24:55 PM

Outage Request Form

This form is for pre-planned outages only. Click Here for Emergency Outages (Outages with less than five (5) days notice)

Select Outage Type:
 
Description for Form types

Interruption Notices must provide all applicable information below and be submitted a minimum of five (5) working days prior to the Interruption start date.
Point of Contact Name:  
Phone Number:  
Email:
(Use your official auburn ID for email, no aliases)
   
Location of Road/Parking Lot Area Affected (include any Alternative Handicapped Parking Location):

 
Purpose of Interuption:
 
Upload file to attach to request:
Buildings Affected:
 
Project Number:
Interruption Start Date:  
Interruption Start Time:  
Restore Date:  
Restore Date:  
Utility(s) Affected: (Check all that Apply)






 
Building Services Affected: (Check  all that Apply)












 
Mechanical Trades Notified:
Fire Watch Required:            
Fire Watch Contact:
Name:      Phone:      Date/Time:
 
Person(s) Contacted for Utility Interruption Approval:
Name:      Phone:      Date/Time:
Name:      Phone:      Date/Time:
Name:      Phone:      Date/Time:



Last Updated: April 8, 2014