New Service Application- Residential

New Service Application- Residential
Before you get started on this application, please ensure you have reviewed the New Service Checklist and have all of the necessary information ready to provide.

After submission of this form, you will be able to download a copy of your application.
Who is submitting this request?*

Property OwnerGeneral ContractorElectrical ContractorPotential Property Purchaser (Estimate Only)
I have completed the following: (check all that apply)*

Reviewed the New Service ChecklistI have completed and signed the Liability Waiver and Property Site SketchI have the Liability Waiver and Property Site Sketch ready to upload (PDF or scan)

Your response indicated that you have not completed and signed the Liability Waiver and Property Site Sketch and/or that you do not have it ready to upload to this application.

The form can be found at uppco.com or by clicking here. You may either complete the form online (fillable PDF) and save it to upload or you may print it, complete it on paper and scan or take a photo to upload with the application. If you need help please contact UPPCO Customer Service.

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Ensure that you have the Liability Waiver and Property Site Sketch ready to upload before proceeding with the application again.

New Service Application- Residential
What type of service are you requesting? (check all that apply)*

New ServiceUpgradeRelocateTemporary Electric
Who is the main contact person for this application?*

First NameLast Name
Contact Email*
Contact Phone Number*
Contact Mailing Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Electrical Contractor Business Name*
Can be unknown or yourself
Electrician/Contact
Electrical Contractor Email
Electrical Contractor Phone Number*
Enter 000-000-0000 if unknown

Property Owner Name*

First NameLast Name
Property Owner Email
Property Owner Phone Number*
Property Owner Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Who is paying construction charges?*

Property OwnerGeneral Contractor/BuilderElectrical Contractor
Construction Charges Contact Name*

First NameLast Name
Construction Charges Contact Email*
Construction Charges Contact Phone Number*
Construction Charges Contact Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Who will be responsible for monthly billing?*

Property OwnerGeneral Contractor/BuilderElectrical Contractor
Monthly Billing Contact*

First NameLast Name
Monthly Billing Contact Email*
Monthly Billing Contact Phone Number*
Monthly Billing Contact Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Site Information
Building, house, or fire number*
Street*
Lot #
County*
Town/City/Village*
State
Zip Code*
Legal description, parcel number, or coordinates of the site or lot*
Nearest intersection, neighbor address, or pole number

Ready for Service
Please Note: The following requirements must be completed before service can be installed.
- Property Site Sketch and Liability Waiver must be on file
- The foundation must be backfilled and within 6” of the final grade
- A service route must be cleared 10’ wide of brush, etc
- A company approved meter socket must be provided and installed by the customer
- Easements need to be signed and on file
- Customer related construction charges have must be paid
- A county or state electrical inspection is required to be done prior to UPPCO being able to energize service
Click here to see UPPCO's Electric Service Manual
I have read and understand my requirements to be ready for service.*

Yes
Other Important Details
- It’s important to contact UPPCO if there are changes to your site.
- When your service requirements are met, and we are notified that your site is ready, service installation typically begins within 15 business days.
- After the electric service is installed by UPPCO and your Electrical Inspection is received, the meter is typically set and energized within three business days.
- These timelines are dependent on the complexity of your job, weather, road restrictions, and crew availability.
- Winter Construction Charge may apply.
- We will make every effort to work with your preferred timeline, but reserve the right to make the final call on site readiness and other timeline factors.
Date you anticipate your site will be ready for service:*

MonthDayYear
Date
Please verify that you are human*
After submission of this form, you will be able to download a copy of your application.
Should be Empty:

New Service Application- Residential

New Service Application- Residential

Site Information

Electric Information

New or Added Equipment

Structure Information

Ready for Service