Project Request Form
Use this form to request either a new service or service upgrade. Please fill out this form to begin the process and receive an estimate for the construction of service.
Individual or Business
Individual
Business
Applicant Information
Name
*
First Name
Last Name
Business Name
*
Tax ID #
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Service Information
Service Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Section/Township/Range/Quarter (optional)
County
Billing Address (if different from Service Address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Electric Information
Project Description
*
Electrician Company/Name
Construction Type
*
New Construction
Expansion
All Electric?
*
Yes
No
Unknown
Phase Selection
*
Single Phase
3 Phase
Voltage
*
120/240
120/208
277/480
Unknown
Anticipated KVA
Anticipated Amp's
Select type of service if applicable
*
Irrigation
EDO
Irrigation and EDO
Oilwell
None of the above
Horsepower
*
Date service is desired
*
-
Month
-
Day
Year
Date
Please provide any information, such as load data sheets or engineered plans.
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