Service Request Application

Please note when making requests involving multiple meters (or services):
One Service Request Application form is required per meter (or service).

New Service

New Temporary Service

Upgrade Existing

Property Owner Information and Mailing Address

First Name:

Last Name

Street Address

Unit Number

City/Town

Province

Postal Code

Telephone Number

Email Address

Service Location Address

Street Address

Unit Number

City/Town

Province

Postal Code

Electrical Contractor

First Name

Last Name

Company Name

Street Address

Unit Number

City/Town

Province

Postal Code

Telephone Number

Email Address

Service Details

Type

Residential

GS < 50kW (Commercial)

GS > 50kW (Commercial)

Metering

Individual

Ganged (Multi)

Suite Metered

EV Charger

Back Up Generator

Bulk Metered

Existing Voltage (V)

120/240V (1Ø)

120/208V (3Ø)

347/600V (3Ø)

Proposed Voltage (V)

120/240V (1Ø)

120/208V (3Ø)

347/600V (3Ø)

Existing Service Size (Amp)

100 Amp

200 Amp

400 Amp

600 Amp

> 800 Amp

Proposed Service Size (Amp)

100 Amp

200 Amp

400 Amp

600 Amp

> 800 Amp

Estimated Load (kVA)

Start of Construction Date

Proposed Date of Service Energization

Additional Information

Completed By:

Date:

Note: Please refer to Niagara Peninsula Energy's Conditions of Service for additional information requirements related to Site Plans, Single Line Diagrams, etc.

Your personal information is collected on this form by Niagara Peninsula Energy Inc. ("NPEI") under the authority of the Electricity Act, S.O. 1998, Chapter 15, Schedule A. Personal information will be used only for the purposes set out in the Niagara Peninsula Energy Inc. Privacy Policy.