Daily Outage Credit Form

Credit will be automatically applied to eligible Connecticut residential electric accounts within 60 days after a qualifying storm’s restoration is substantially complete. Only submit this form if you didn’t receive the credit but believe you’re eligible.

Contact Information

First Name

Last Name

Phone Number on Account

Do not include dashes or country code

Email Address

Account Type

Eversource Account Number

Service Address

Street Address/PO box

Unit / Suite #

City

State

ZIP

Power Outage Start Date & Time

Outage Date

Outage Time (Estimate)

Power Return Date & Time

Return Date

Return Time (Estimate)

Claim Appeal

Was your previous daily outage credit claim denied and you want to appeal the decision?

Yes No

Attestation Statement

I agree that this claim is accurate and truthful to the best of my knowledge. I understand that Eversource may contact me with questions prior to paying any claim.

Attestation Statement is required

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View PDF of this form to submit offline >

Request Submitted

Your request is under review and we’ll update you with a decision. If you have questions, please view more details about the daily outage credit.

Error in processing the request.