Move-In Service

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Are you requesting service for a property in the City of Cleveland?*

YesNo
Personal Information
Last Name*
First Name*
Social Security Number (Last 4 digits)*
Home / Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Please provide the Address where Service is required
Address

Street Address

APT/UNIT (This is a required field. If it is not applicable, please use N/A.)

CityState / Province

Postal / Zip Code
Street Address*
APT/UNIT*
(This is a required field. If it is not applicable, please use N/A.)
City*
State/Province*
Postal/Zip Code*
Property Information
Property Description:*

Single HomeMulti Unit / Apartment
Are you current on any Energy Assistance Program? (HEAP, PiPP, others)*

YesNo
If you answered yes to the above question, indicate which program(s).
Please Provide the Billing Address
Address*

Street Address

APT/UNIT

CityState / Province

Postal / Zip Code
Service Request Date*

MonthDayYear
By checking this box, I have read and agreed to the terms and conditions set forth by Cleveland Public Power. I also agree that the information submitted through this form is true and accurate to the best of my knowledge.*

I agree to the terms of service.
This form is only for properties within the City of Cleveland.
Should be Empty:

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