Critical Care Life Support Form | Cape Hatteras Electric Cooperative

Our office will be closed on Friday, July 3rd in observance of Independence Day. To report a power outage, please call 866-511-9862.

Report Outage: 866-511-9862

Name

Service Address

Village

Phone Number

Type of Life Support Equipment

Other necessary Equipment (lights, pumps, etc)

Is the equipment used continuously?

Yes

If not used continuously, how many hours/days is it used?

Can the equipment be use hand operated?

Yes

Do you have back-up generation to run this equipment?

Yes

Emergency Contact

Emergency Contact Phone Number