NEW YORK STATE PUBLIC SERVICE COMMISSION
NEW YORK STATE DEPARTMENT OF PUBLIC SERVICETELECOMMUNICATIONS SERVICE PROVIDER OUTAGE REPORTING FORM Instructions: Please complete form and submit electronically: Joseph P. Yakel, Utility Supervisor, Office of TelecommunicationsNew York State Department of Public Service3 Empire State Plaza, Albany, NY 12223-1350(518) 473-5244 joseph.yakel@dps. Company Name:(Doing Business As, if applicable)Company Address:Company Website:Outage Reporting Contact:Title:Work Telephone Number:After Hours Number:E-mail address:Mailing address:Emergency Plan Verification:Company has a written Emergency Plan:YESNO Emergency Plan Tested and Updated Annually:YESNO ................
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