Filing a claim with Hydro‑Québec due to damage incurred

What you need to fill out the form

• Date of the event and the address where it occurred
• Claimant’s name, telephone number, address and, if claimant is a Hydro-Québec customer, their customer number
  

  Need help finding the customer number?

  This nine-digit number beginning with 1 is indicated on the customer’s electricity bill.
  Example: 100 000 001

  

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  Where can you find your customer number?
• All supporting documents – photos of the damage incurred, bids, invoices, etc., along with any other documentation you feel is relevant to your claim. It is absolutely essential that these documents be enclosed with the claims form for your claim to be admissible.

Fields marked with an asterisk (*) must be filled in.

Type of claim

Type of claim Select Damage to electrical or electronic devices Loss of food, income or production resulting from an outage or work on the system Property damage caused by Hydro-Québec employees or representatives Bill from an electrician Pruned or cut trees Vehicle damage following a collision Wait time to be connected

Cause of the damages Select Outage (Hydro-Québec equipment failure) Frequent outages Planned service interruption Bad weather Other

Cause of the damages Select Planned service interruption Frequent outages Outage lasting more than 24 hours Bad weather Other

Cause of the damages Select Planting Pruning or cutting Work by Hydro-Québec during an outage or maintenance work Accidental spill (oil) Wires (too low or too taut) Other

Cause of the damages Select Service call to report a failure on Hydro-Québec’s power system Defective meter Damage to joints Damage to a meter socket Damage to a mast Other

Cause of the damages Select Branch pick-up Excessive pruning Cutting or pruning without consent Other

Cause of the damages Select Vehicle damage following a collision

Cause of the damages Select New connection Service entrance Modification to a customer’s service entrance Securisation Other

Description of event

Indicate the exact or approximate date of the event. (Example: YYYY-MM-DD)

Claim amount Enter the exact claim amount using commas and a period. Do not include the dollar sign. (Example : 1,234.56).

Describe the event and its consequences. (Maximum of 5,000 characters)

Do you have any supporting documents (documents, photos, etc.) to include in your claim?

IMPORTANT:

• These documents must be enclosed with the claims form for your claim to be admissible. Please keep all original supporting documents because we may ask you to provide them.

You may attach up to five documents.

File 1 Accepted formats: DOC, PDF, JPG or TIFF file ( Maximum size: 5 Mb per document)

Choose a file… 

File 2 Accepted formats: DOC, PDF, JPG or TIFF file ( Maximum size: 5 Mb per document)

Choose a file… 

File 3 Accepted formats: DOC, PDF, JPG or TIFF file ( Maximum size: 5 Mb per document)

Choose a file… 

File 4 Accepted formats: DOC, PDF, JPG or TIFF file ( Maximum size: 5 Mb per document)

Choose a file… 

File 5 Accepted formats: DOC, PDF, JPG or TIFF file ( Maximum size: 5 Mb per document)

Choose a file… 

Claimant

You are a

Hydro-Québec customer

Representative of a Hydro-Québec customer

Telephone/cable company

Customer number Need help finding the customer number ?

Need help finding the Customer number

This nine-digit number beginning with 1 is indicated on the customer’s electricity bill.
Example: 100 000 001

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First name

Name

Civic number

Street name

Apt. or office Example: 101 ou 80C

City

Postal code Example: H2Z 1A4

Email

Telephone

Extension

Type Select Work Cell Pager Home Hearing impaired Fax Other

Is the above address the same as the address where the event occurred?

Yes

No

I don’t know the exact address

Civic number

Street name

Apt. or office Example: 101 or 80C

City

Postal code Example: H2Z 1A4

Location where the event occurred (Intersection, nearby location)

Type of representative

Insurer

Attorney

Claim adjuster

Proxy holder

Other

Reference number assigned to this file

Hydro-Québec customer number of the person or company you represent Need help to find the customer number?

Where can you find your customer number?

This nine-digit number beginning with 1 is indicated on the customer’s electricity bill.

Example: 100 000 001

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First and last names of the person or company you represent

Identification of representative

First name

Last name

Name of company you work for

Civic number

Street name

Apt. or office Example: 101 ou 80C

City

Postal code Example: H2Z 1A4

Email

Telephone

Ext.

Type Select Work Cell Pager Home Hearing impaired Fax Other

Claims filed by master electricians are subject to specific conditions and to a specific process.

View the document Intervention in case of power supply problem reported by a residential customer[In French only PDF 64 Ko].

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