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Electrical Facilities, Inc.
39 Capital Drive
Wallingford, CT 06492

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(203) 269-9557

Established 1973

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Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Property Description
Number of Rooms
Square Footage
Fuel 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
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Phone
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