OVERHEAD ELECTRIC PROTECTION
NOTIFICATION FORM
To the Customer/Property Owner/Contractor: Under New York State law, before beginning work near overhead electric
lines, you must provide notification to Central Hudson. Notification must be received by Central Hudson no less than five (5)
business days before the projected start date. If the notification is made by U.S. Mail, three (3) extra days’ notice is required.
This notification is required for any work, project, operation or activity that may be performed within 10 feet of Central Hudson’s
electric lines. However, Central Hudson encourages our customers to provide notification of any projects that may be performed
within 20 feet of Central Hudson’s electric lines. This allows Central Hudson to properly identify all electrical facilities and to
review all precautionary measures to be implemented. You cannot commence work until Central Hudson notifies you that
all precautionary measures are satisfied. Central Hudson will respond to our customers, property owners and contractors to
discuss job site safety within three (3) business days of receiving this notification.
PROJECT SITE
Customer Name/Property Owner:
Customer Cell Phone: Customer Email:
Address:
City/Town: Zip Code:
Property Meter #:
Nearest Pole #:
CONTRACTOR INFORMATION
Contractor Name:
Contractor Phone:
Contractor Email:
PROJECT INFORMATION
Will there be any construction equipment that will come within 20 feet of a Central Hudson Wire?
�
Yes
�
No
Type of Wire:
�
Primary
�
Secondary
�
Unknown
Do the wires run from the pole to the house?
�
Yes
�
No
Do the wires run from pole to pole along the roadway?
�
Yes
�
No
Do the wires run from a utility-owned pole to a customer-owned pole?
�
Yes
�
No
�
Unknown
