Power Outage Assistance Form

Power Outage Assistance Form

If you are still without power following the recent storm, please complete this form. The Town will compile the information received and share it with BGE to help ensure they are aware of affected customers. Submitting this form does not replace reporting your outage directly to BGE. If you have not already done so, please report your outage through BGE's website or by calling 877-778-2222.While the Town cannot guarantee restoration times, we will continue working with BGE to advocate for our community. Privacy Notice: The information you provide will be shared with BGE solely for the purpose of assisting with outage response and restoration efforts. The Town may also use this information to communicate outage-related updates if necessary.
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Is your property currently without electrical power?
Approximately when did you lose power?

MonthDayYear
Date
Have you reported your outage directly to BGE?
If yes, do you have a BGE outage confirmation or case number? (Optional)
Does anyone at this address rely on electrically powered medical equipment?
Are there any other circumstances you would like the Town to share with BGE?
Should be Empty: