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Upgraded Service to a Facility Form

I am requesting upgraded electric service to accommodate an increased power requirement for my project.

Service Area

Please select your service area to help us better route your request.

Service Area Map

ServiceArea1 ServiceArea2 ServiceArea3 ServiceArea4 ServiceArea5 ServiceArea6 ServiceArea7

For more information on the service area's boundaries, find the approximate location for your project and click directly on the map.

Please select your Service area.

Customer Information

Please indicate type of customer.
Please enter your Customer name.
Please enter a 12 digit account number starting with the number 2, 3 or 4.
Please enter the meter number in the format '999999', 'A12345' or '9999999999'.
Please enter a whole number for your Street number.
Please enter your Street name.
Please enter your City.
Please enter your Zip Code.
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Please enter your Zip Code +4.
Please select your permit issuer.
Please select the date service is required.
The "Date service required" must be a minimum of 90 business days from today's date. This allows us time to make any necessary changes to our electrical infrastructure required to accommodate your request.
Please enter your Email Address.
Please verify your Email Address by entering exactly (it's case sensitive) as above.
Please enter your Phone number area code.
Please enter your Phone number suffix.
Please enter your Phone number line number.
Please enter your Evening phone number area code.
Please enter your Evening phone number suffix.
Please enter your Evening phone number line number.

Billing Information

Please enter a whole number for your billing street number.
Please enter your Billing State.
Please enter your Billing Zip Code.
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Please enter your Billing Zip Code +4.

Contractor Information

Please enter your contractor's name.
Please enter your Contactor's phone number area code.
Please enter your Contactor's phone number suffix.
Please enter your Contactor's phone number line number.
Please enter your Contactor's fax number area code.
Please enter your Contactor's fax number suffix.
Please enter your Contactor's fax number line number.
Please enter your Contactor's cell number area code.
Please enter your Contactor's cell number suffix.
Please enter your Contactor's cell number line number.

Engineering Information

Please select the Number of A/C units.
Please enter a number for A/C largest unit tons.
Please enter a number for A/C next largest unit tons.
Please select a Heat type.
Please enter a number for Total strip heat in KW.
Please select a Service Size/Main Breaker.
Please enter a whole number for Total square footage.
Please select a Service type.
Please select a Facility type.
Please enter a whole number for Number of buildings.
If your project does not require formal electrical plans, please provide the following information regarding your upgrade:
Please select the Voltage requested.
Please select the Phase requested.
In order to process your request as quickly as possible, please verify the information you are providing is correct before submitting.

IMPORTANT NOTICE ABOUT YOUR REQUEST: If you do not receive a confirmation e-mail after you have submitted this form, you may have provided an incorrect e-mail address or your spam filter, a system for blocking unwanted e-mail messages, may be switched on.

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