To begin your service request, please provide the following information for the person responsible for paying the electric service at the location for upgraded service, new construction, or temporary service.

* = required field

Account Holder Information

 
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First Name *
Last Name *
Business Name *
Social Security Number *
Why do we require this?

A Social Security Number or Federal Tax ID Number is required for us to process your service request using this form.  If this information is not available, or you do not wish to provide it on the form, please call our Contact Center to complete your service request. 

Confirm Social Security Number *
Date of Birth *
(MM/DD/YYYY)
Taxpayer ID *
Why do we require this?

A Social Security Number or Federal Tax ID Number is required for us to process your service request using this form.  If this information is not available, or you do not wish to provide it on the form, please call our Contact Center to complete your service request. 

Confirm Taxpayer ID *

Current Mailing Address

House#/Street *
Apt/Bldg/Floor
PO Box
City *
State *
Zip Code *
Contact Phone Number *