Field Incident Report

File a field-service request for your Milbank PowerGen™ Electric Vehicle Charging System, Home Generator System, or Portable Generator.

Your Information
* First Name
* Last Name
* Phone
* Email
(Rep, Distributor, Installer, MAGT, Owner)
(If applicable)
Installed Location
(If applicable)
Address (cont.)
State / Province
Zip / Postal
Primary Contact Information
(End user or contractor if different from above — required for field service)
Same as above  Yes
* First Name
* Last Name
* Phone
* Email
Field Incident/Product Information
* Indicate type of issue
* Fault Code
Please provide a detailed description of the issue
* Model Number
* Serial Number
Photo 1 (JPG/JPEG only)
Photo 2 (JPG/JPEG only)
Photo 3 (JPG/JPEG only)
We make every attempt to resolve all field issues in a timely manner.  It’s very important that all fields that apply are filled in and you provide a detailed description of the issue.  Any missing information will cause delay in resolution.  If you have any questions, please contact Milbank PowerGen at (816) 410-7346.