Connections and Upgrades Form

If you require a disconnection, reconnection, upgrade or are in need of a new service on your property, please complete the form below.

"*" indicates required fields

A. Customer
Service Address*
B. Electrical Contractor/Consultant
Contact Name*
Mailing Address*
Disconnect/Reconnect Only*
MM slash DD slash YYYY
Existing Main Switch (Service Size)*

Proposed Main Switch (Service Size)*

Customer Class*
Service Type*

Power Supply*
Meter Base Location*
Are you installing an Electric Vehicle Charger*
Service requests are subject to Elexicon Energy’s Conditions of Service. For additional questions or concerns, please email us.
This field is for validation purposes and should be left unchanged.