Order Free Safety Materials

1. Where should we send your FREE safety materials?

First Name * Required.
Last Name * Required.
Title * Required.
Organization * Required.
Mailing Address *
  Check if this is a home address.
City * Required.
State Please select an item.
Zip * Required.
Phone * Required.
Email * Required.

2. Number of employees in your organization: *

    0-5    6-10    11-20    21-50    51+    NA
Please make a selection


3. What is the nature of your organization? (Check all that apply.) *

Please make a selection.

4. How will you use these safety materials? (Check all that apply.) *

Please make a selection.

5. What do you feel are the most important safety topics that need to be covered in training materials?


6. How much do you agree with each of the following statements?


Strongly agree


Neither agree nor disagree


Strongly disagree

CPS Energy is committed to the safety of first responders like me.

The information CPS Energy provides is valuable for keeping first responders safe around electricity and natural gas.

I expect CPS Energy to provide first responders the information necessary to get their jobs done safely around CPS Energy’s electric and natural gas infrastructure.

The first responders at my organization use the CPS Energy safety information to work more safely around electricity and natural gas.

The first responders materials provided by CPS Energy help me and/or my coworkers perform our jobs more safely.



Internal Use Only


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