*Meter
# to be Connected Or
City, Town or
area of meter location
|
*
Preferred Connect Date:
* We need 24 hours business notice to process your request. * |
Customer Name: |
Last
* |
First
Middle Initial
*
|
Social Security
Number
* |
Requestor (if different from
customer)
|
| Spouse Information is
required for a Joint Account |
Spouse's Name: |
Last
|
First
Middle Initial
|
Social Security
Number
|
| |
| Billing Address: |
Meter Address (911 Address):
if different from
mailing address |
Apt Complex Name and
Unit Number
|
Apt Complex Name and Unit
Number
|
Street
Address
* |
Street Address
|
City/State
* |
City/State
|
Zip
* |
|
|
|
E-Mail
Address
* |
|
Connect service
available Monday thru Friday.
(excluding Clay Electric
holidays) |
| |
| A phone number is required in
case we need to contact you to verify information. |
*Home Phone
Number
|
*Day Time Phone
Number & Extension
ext.
|
| Do you
currently have service with CEC? |
|
| Do you need to disconnect
that service? |
|
If Yes please specify the
preferred disconnect date:
|
Account # Meter# to Cut
Off
|
|
Disconnect service
available Monday thru Friday.
(excluding Clay Electric
holidays) |
| |
Would you like to sign-up for any of the following
programs?
(Click on a name for more information) |
|
Automatic Monthly Payment Plan |
Seniors Plan |
| Project Share |
Third Party Notification |
| For information on the following programs, please
follow the indicated link: |
|
|
|
| CEC's Residential
deposit is $250.00. CEC will run a utility credit check to
determine if residential accounts are exempt from the deposit based
on your credit history. Commercial deposits are based on estimated
usage. An account setup charge of $30 and a field connect charge of $30 will be charged on the
first bill and a $5 (refundable) Membership if you are not an active
member of CEC. |
| Note: The main
electrical breaker should be in the off
position for CEC to connect service. |
Comments:
|
As a security feature please enter the digits and/or letters found in the image below.
If you can not read the image press the submit button to refresh. |
| * |
|
Please verify your information for
correctness. By submitting this request you are authorizing
a utility credit check.
|
