Restricted access switch (RAS) reimbursement form

The purpose of this reimbursement form has a dual function:

  1. The installer or the customer must identify where the SRP restricted access switch(es) (RAS) are actually installed.
  2. SRP can inspect the installations and verify proper operation prior to reimbursement.

For questions regarding this form, please contact SRP Commercial Customer Services at (602) 236-8833.

Step 1 of 5: Enter customer information

*Indicates a required field.

*Customer name

Customer address
*Address line 1
Address line 2
*City/town

 *State
*ZIP code
(enter as: nnnnn or nnnnn-nnnn)

List location(s) of customer main or guest and restricted exit electric gate(s)

*

Reimbursement information

Installer or customer (Individual or individuals seeking reimbursement)
*Name


*Phone
--

Address
*Address line 1
Address line 2
*City/town

 *State
*ZIP code
(enter as: nnnnn or nnnnn-nnnn)

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