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Company Name:
Reporting Period:Instructions:
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Company ID No.:
Reporting Date:Chapter 3, Section 28. Service Interruption Reporting.
(a) Each utility shall report within 30 days after the end of each calendar quarter the following service interruptions, planned or otherwise:
(i) Electric utilities: all service interruptions greater than five minutes, other than meter testing or change outs;
(ii) Natural gas utilities: all service interruptions, other than meter testing or change outs;
(iii) Water utilities: all service interruptions that result in the loss of service to five or more customers or water meters, whichever is greater.
These records shall be retained by the utility for a minimum of six years.
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Name of Person Filing Report:
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Quarterly Service Interruption Report - Water Utility
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Commission Rule Ch. 3, Section 28(a)
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Outage IDStart DateStart TimeEnd DateEnd TimeDuration
(calculated in minutes)		Number of Affected CustomersCity or Town
(or county if interruption occurred outside city/town limits)		Cause of Service Interruption
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4Upload the Excel file(s), with formulae intact, to the Commission's Docket Management System as a "General Correspondence" file type.

Use the "YYYY Q#" naming convention at the beginning of the attachment names. For example:

1st Quarter 2022 --> 2022 Q1 Service Interruption Report
4th Quarter 2022 --> 2022 Q4 Service Interruption Report
2nd Quarter 2023 --> 2023 Q2 Service Interruption Report
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16Reports are due:
1st quarter: April 30
2nd quarter: July 30
3rd quarter: October 30
4th quarter: January 30
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22Open additional sheets by clicking the "+" symbol on the left side of the sheet.
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