Customer Service

Apply for Service to New Construction

* Required Field

* Type of Service Requested:
* Amp. Service Required:	100 Amp 200 Amp Other
Type of Heat:
Type of Air:
Square Footage:
Location of Service:
County:
Road Name:
* Building Description :

* Directions to the site, including lot# and any other information helpful in locating the site. Include new address, if available:

* Applicant Name:
(Last,First,MI):

* Applicant Soc. Security No.:
(Last 4 digits)

* Federal Tax ID# (If commercial):

Co-Applicant Name:
(Last,First,MI):

Co-Applicant Soc. Security No.:
(Last 4 digits)

Current Mailing Address:

* Address 1:

Address 2:

* City:

* State:

Zip:

* Home Phone:

Work Phone:

Cell Phone:

* Email:

* Person Requesting this Job Order:

Additional Comments

By submitting these forms you agree to the terms and conditions as they are stated.

The construction of your service may require that you share in a portion of the cost associated with the construction. A representative from Citizens Electric Corporation will contact you regarding this request. IF we have not acknowledged your request within three working days, please contact our customer service representative at 1-877-876-3511. Ask to be directed to the District Superintendent representing the area for which you are requesting service -