Generator Inquiry Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Property DescriptionNumber of RoomsSquare FootageFuel Source LP Natural Gas How many outages have you experienced in the last 12 months?:What is the average duration of am outage?What is the longest you have been without power?Which Factors combined to the outages you experienced?Check all that apply. Winter Storms Storms/Lightning Utility Overload High Winds Hurricanes Grid Failure Heat Waves Tornados Questions to better determine your needs and vulnerabilities.How many adults in your household?How many children in your household?How frequently is your home left unattended?What are the most important items to back up?What can you do without?What is the value of of food in your Freezer?What is the value of of food in your Refrigerator?Does your sump pump run frequently?Is your water supply provided through a well pump?What type of medical equipment do you use daily?What rooms have been finished in your basement/lower level?How would loss of your heating or cooling system affect your family and property?What is the total damages that may be incurred as a result of mold?Do you have a place to stay during repairs that may be associated with an outage?How do you access your garage when the power is out?These items rely on Electricity. Which of them are critical to you during a power outage? Refrigerator Security system Air conditioner Television Washer Medical equipment Freezer Sump pump Furnace Computer Dryer Cell phone charger Oven Well pump Water softener Lights Outdoor lights Landline Microwave Radon pump Water heater Fans Garage door Office equipment CAPTCHANameThis field is for validation purposes and should be left unchanged. Δ
