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Fill out, sign and fax this page to Réjean Levasseur at (514) 289-7168

REQUEST FOR EMERGENCY ASSISTANCE UNDER MUTUAL EMERGENCY ASSISTANCE AGREEMENT BETWEEN _________________________ AND HYDRO-QUÉBEC

Principles and Procedures

Date __________ 19_____

 

__________________________________________________

__________________________________________________

__________________________________________________
(Name and address of responding participant)

In recognition of the personnel, equipment or other emergency assistance being sent to us by your company in accordance with a request made to ______________________________ on ____________________, we agree to the "Principles and Procedures" governing Emergency Assistance Arrangements set forth in the MUTUAL EMERGENCY ASSISTANCE AGREEMENT BETWEEN ______________________________ AND HYDRO-QUÉBEC, or in the suggested GOVERNING PRINCIPLES EMERGENCY ASSISTANCE ARRANGEMENT OF THE EEI LEGAL COMMITTEE. (Specify any changes or exceptions requested)

 

Requesting participant
Name: ________________________________________
 

Address:

 

________________________________________

________________________________________

________________________________________

Responding participant
Authorized Officer's signature: ________________________________________
 

Authorized Officer's signature:

 

________________________________________