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LIFE’S CHECKLISTS · FREE WORKSHEET

Utility outage preparation

Know where to check status and who to call.

First read the completed example. Then write your own answers in the blank sections. If you do not know an answer, write what you need to ask. Official applications may require their own forms.

Completed example

This is a fictional practice entry. Write your own details in the blank sections below.

Service / need
Power
Official outage contact
Official utility outage page saved offline
Safe backup
Flashlight with working batteries
Household action
Report outage and follow official food-safety guidance
Last checked
October 23

Date: ____________________

Power

Official outage contact

Safe backup

Household action

Last checked

Water

Official outage contact

Safe backup

Household action

Last checked

Internet / phone

Official outage contact

Safe backup

Household action

Last checked

Medication / medical device needs

Official outage contact

Safe backup

Household action

Last checked

Food refrigeration

Official outage contact

Safe backup

Household action

Last checked

Heating / cooling

Official outage contact

Safe backup

Household action

Last checked

Notes:

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