Report a Claim 请填写此表格，为您的损坏财产提出索赔. Fields marked with * are required Form Errors 请更正以下错误并重新提交. Personal Information First Name * Last Name * 如果您代表一家公司，请在此处输入公司名称. Organization Name 爱达荷州电力公司帐号 Primary Phone (e.g., 2085551212) * Phone Type Select Home Mobile Work * Email Address * Confirm Email Address * Contact Preference Phone Email * Street Address * 街道地址(续) City * State Select Idaho Oregon * Zip Code * Event Details 勾选下面的方框以使用您的街道地址作为活动地点. 使用街道地址作为事件位置. 事件地址或地点 * City State Select Idaho Oregon Zip Code Date of Event * Time of Event (e.g., 03:12 PM) * 事件简介(限1000字). * 损坏财产简要描述(限1000字) * Form Submitted Submit Form
