Electric Service Request for Builders
If you are building in our service territory for the first time, please visit the 'Apply for service' tab on the Carroll EMC Website.
Name or Company Name
*
Site Contact
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Subdivision Name
If Applicable
Lot #
If Applicable
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
*
Please Select
Carroll
Haralson
Heard
Pauling
Polk
Troup
Service Makeup
*
Please Select
Gas
Total Electric
Service Type
*
Temporary
Permanent
Do you wish to disconnect and retire an existing temporary pole at this address?
Yes
No
Do you wish to add additional locations for service?
Yes
No
Service Type
*
Temporary
Permanent
Do you wish to disconnect and retire an existing temporary pole at this address?
Yes
No
*
Do you wish to add additional locations for service?
Yes
No
Service Type
*
Temporary
Permanent
Do you wish to disconnect and retire an existing temporary pole at this address?
Yes
No
*
Do you wish to add additional locations for service?
Yes
No
Service Type
*
Temporary
Permanent
Do you wish to disconnect and retire an existing temporary pole at this address?
Yes
No
*
Do you wish to add additional locations for service?
Yes
No
Service Type
*
Temporary
Permanent
Do you wish to disconnect and retire an existing temporary pole at this address?
Yes
No
*
Submit
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