Please complete this form to transfer electric service into your name or to have new electric service built to a new location.Name* First Last Phone*Email* What type of service are you looking for?* Build power to a new location Transfer existing account into my name Add another electric service to an existing location Home Owners & Contractors*This form is intended to gather the information of the home-owner. If you are a contractor, please ask the home-owner complete this request for service. I am the home-owner Does the new location have an address?* Yes, it has an address No, it does not have an address yet I'm not sure Effective date of transfer (if known) MM slash DD slash YYYY Street address of the new location* City ZIP Code StateIdahoWashingtonOregonMailing Address* Use this service address for mail I will enter a different address for mail Mailing Address Street Address City State / Province / Region ZIP / Postal Code Billing Preference* I prefer to receive a bill to my e-mail address I prefer to receive a paper bill in the mail Do you know the name/contact information of the previous owner?* Yes, I know their name and/or contact information No, I don't have their name or contact information Name of previous owner First Last Did you go through a realtor? Yes, I worked through a realtor No, I did not go through a realtor Phone number of previous owner (if known)Name of Realtor First Last Realtor's Phone NumberEmail of previous owner (if known) Please describe the location where you would like to extend power*Road names, GPS coordinates or neighboring properties are helpfulHow far is your new panel from the existing meter?* More than 200 feet (60 meters) Less than 200 feet (60 meters) I'm not sure If the new service is less than 200 feet, you should consult an electrician before seeking a primary electric extension* I have already consulted an electrician and I would like to continue Please describe the type of service you are interested in*Common examples include building a shop with a separate meterAddress*Please enter the service address for this location Street Address City State / Province / Region ZIP / Postal Code Please enter your current mailing address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code