RECALL PRESCREEN:SubmitORSTART NEW PRESCREEN Searching for Prescreen found. Loading form. No prescreen found. Please try again. YOU MUST FILL IN ALL REQUIRED FIELDS Back Email Results Email Results Prescreen Performed By Send copy to member? Date Of Initial Contact By Member: Primary Phone: Alt Phone: Arrester Install Date: Arrester Manufacturer: -- Select Manufacturer -- EFI MeterTreater POU Date: POU Manufacturer: -- Select Manufacturer -- Ahoku EFI TrippLite Date Member contacted by SPD: Left Message Who did you speak with on initial telephone call?: Date of occurrence: Weather Conditions/Special Circumstances at time of occurrence: Clear Stormy Outage Other - Please Explain Damaged items Add Product Field visit required?: Yes No Pending Claim Type?: Arrester POU Both Member advised we will need to see damaged items and take pictutes Member advised to keep all receipts for repair or replacement Comments: Surge Claim?: To Be Determined No Surge Clalm Proceed Wlth Claim Submit Submit Sending
