New Submission

This form will attempt to pull the information from your utility application.
Please correct any incorrect information and enter any missing information.

Datefield type date
Date will be captured on form submission
Deposit Type*field type radio button
Utility deposit can be waived by providing a Letter of Credit from another utility showing no late payments for the previous 12 months
Deposit TypeResidentialCommercialLetter of CreditOther (Enter only an amount provided by Utility Billing in the Minimum Deposit field below)
Last Name or Business Name*field type single line
Input blocked. Maximum character limit of 60 characters reached.
First / Middle Namefield type single line
Input blocked. Maximum character limit of 60 characters reached.
Email*field type email
Phone*field type single line
Input blocked. Maximum character limit of 20 characters reached.
Service Start Date*field type date
Previous/Current Customer (Yes or No)*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Service Address*field type multi line
Input blocked. Maximum character limit of 240 characters reached.
Minimum Depositfield type currency
$This value is set by selecting an Account Type at the top of this form

LETTER OF CREDIT

In lieu of paying a deposit, you may provide a letter of credit from another utility showing no late payments for the past 12 months
Upload Letter of Credit here*field type file upload
Drop files here
You have reached the maximum file limit: .

Please enter information connected to your credit card below.
The address you're moving into may not be the same as the billing address for your credit card. This transaction may be denied when the address entered below does not match that for your credit card.