New Service Installation, Residential

Step 1 of 5: Service Information

Please be sure to complete every step of this form and click the Submit button on the last page. Required information is identified with an asterisk (*).

Service Address
Address of the new gas or electric service.
   Must include House # or Lot # (please list lowest numbers first).



Type of Service Applying For Providing the Requested Dates now will facilitate the application process

Type of Service (Check all that apply)
Requested Installation Date
Requested Meter Set Date