Please fill out the form completely. All fields marked with an asterisk (*) are required. Incomplete applications cannot be processed.

Have questions about this form? Please contact us.


  • Please help us complete your service request by providing access to any basement/cellar where the meter is located. If the meter is outside, please ensure your gate or fence is unlocked. In addition, please remove your pets from the area where the meter is located.
  • Change of service requires a three (3) business day notice prior to desired change date. 
Service Address

An electrical inspection is required before service can begin. For temporary service, this will require two inspections — one for   the temporary service and another inspection before we can convert the temporary service to the permanent service. 

Service Information
Existing Service
Contact Information
Additional Authorized Party
Additional Authorized Party