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Surgeblocker Request WebForm

  1. HomesteadEnergy.png

  2. Please complete the information below and submit. Or print and mail this form to: Homestead Energy Services - SurgeBlocker 675 N. Flagler Avenue Homestead, FL 33030

  3. Surgeblocker Free Assessment Request

  4. Surgeblocker Program

  5. Type of Facility

  6. Is this a gated community?

  7. Is the location fenced?

  8. Is there a dog in the yard?

  9. A representative will contact you

  10. Preferred Contact Method

  11. If there are any questions about SURGEBLOCKER or questions about your electrical system, please email: or visit our partner's website at

  12. Leave This Blank:

  13. This field is not part of the form submission.