Alert
* Required Fields
Your Name
*First
MI *Last
Name on account  
If different than above.
First MI Last
Please supply account number if you are a current customer.
Account Number
Service Request  
(Hold down the 'Ctrl' key to select multiple request.)
  Please provide any necessary details about this Service Request in the
Additional Comments or Questions box below.
*Service Address  
*Street
*City
*State *Zip Code
Mailing Address (If different than your service address)
Street P.O. Box
City
State Zip Code
*Phone Number
Do you have an e-mail address?
Yes No
If yes, enter your e-mail address.
Will someone need to gain access to your yard for this service request?
 Yes No
Do you have a dog in the yard? (Needed for employee safety.)
Yes No
Note: If your Electric Service Request needs to be completed within 24 hours, please call 972-205-2650.
Additional Comments or Questions
Privacy & Security Statement