Builder Service Request Form

If you are in the process of building a new home or business facility and wish to arrange for the installation of electric service, simply complete the form below (or pdfprint the form and fax to us). We will confirm your request within 24 hours via e-mail and provide you with a request number for your reference. For assistance, please contact our Builder’s Hotline at 1-800-469-3981.

* Denotes a required field

Contractor/Consultant Contact Information

Contact last name:
  1. - -
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Customer (Owner) Contact Information

Customer (Owner) Contact Information
  1. *Are the contractor and owner the same individuals:

  2. --
  3. -" -"

Billing Information

Billing Information
  1. *Does the person responsible for billing have an account with us:

  2. "-
  3. --
  4. --
  5. --
  6. --
  7. - -
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Service Information

Service Information

Option Types

Option Types

  1. Type:





  1. Call back, cost estimate, temp/perm location, etc.

  2. If you are going from temporary to permanent, the temp meter should be:


  3. State/city electrical inspection complete:



Submitted By

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Customer Service

Customer Service

Customer service
1-888-221-7070

Report a power outage
1-877-508-5088

Report a streetlight outage