If you need to enter in your current meter readings, please fill out the form below. You may also email dlucabaugh@abscare.com or call us at (410) 933-3333.

Business/Organization Name

Contact Name

Phone

Email

Please enter up to 10 equipment id numbers and their corresponding meter readings. If you have more than 10, then submit the first 10 and start a new form for the remainder meter readings.

	Equip ID	B/W	Color
1.
2.
3.
4.
5.

	Equip ID	B/W	Color
6.
7.
8.
9.
10.

On a regular basis, we will contact you for the current meter readings. If you need to change who receives this notification or the method in which it is sent, please check the check box below and select the method that is most convenient for you.

Change contact method for the next reminder.

	Contact Name:
	E-Mail
	Fax
	Phone

Additional Comments