Ohop Mutual Light Company Service Installation Request Form Font Size: Share & Bookmark Share on FacebookShare on X (Twitter)Share on PinterestShare on LinkedinShare on Email Feedback Print Service Installation Request Form "*" indicates required fields Step 1 of 7 14% Name* First Last New, Current, or Previous Customer*SelectNewCurrentPreviousService 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 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 Enter if different than service addressPhone*Email Please complete this form to the best of your ability. The more information provided, the more accurate your quote will be. A complete and accurate site plan must be provided. Your site plan must show locations of the following: Driveway Fronting Road & Crossroad (or reference to nearest crossroad) Septic & Drain field Nearest Ohop Mutual Pole or Transformer North Arrow Proposed Meter Base Location Lot Dimensions Distance of Home from Pole or Transformer Distance of Home from Road Upload Site Plan*Max. file size: 220 MB. Service Requested Is* New Altered / Existing 2nd Service (Shop, Pump, Etc.) Type of Service* Residential Commercial Type of Residential Service* Site Built Home Manufactured Home Garage / Shop / Barn Other Type of Residential Service* Site Built Home Manufactured Home Garage / Shop / Barn RV Service Domestic Well Other Approximate Square FootageOtherPlease enter a description of the work requestedMulti-Family Multi-Family Type of Service* Business Office Shop Other Type of Commercial Service* Office Building Shop Other OtherEnter a description of the type of service installation requested Voltage Desired* Single Phase (120 / 240 volts, 3 wire) Three Phase Three Phase Voltage 120 / 208 volts, 4 wire 277 / 480 volts, 4 wire Size of Meter Base (Amps)*Select200A320A100A400A or Larger (CT)OtherPrimary Heat Type*SelectForced Air With Heat PumpGas / Oil / WoodDuctless Heat PumpForced Air (Electric Only)Baseboard / Wall HeaterHeat Pump TonageAdditional Loads Swimming Pool Hot Tub Well / Pump Main Disconnect SizeAmps & # of PanelsOther Meter Base Size Electrical ContractorElectrical Contractor PhoneBuilding ContractorBuilding Contractor PhoneExcavation ContractorExcavation Contractor Phone Tax Parcel #Subdivision & LotExisting mainline facilities are: Overhead Underground Transformer #My project requires a temporary service: Yes No CommentsUpload Additional DocumentsMax. file size: 220 MB. Acknowledgement* The above information is true and accurate to the best of my knowledge. I understand that if my service information or location changes there may be additional fees. Privacy Policy Consent* By clicking “Submit”, you agree to Ohop Mutual Light Company’s Privacy Policy (linked at bottom of page). You consent to receive phone calls, SMS messages, and e-mails from Ohop Mutual to provide updates on your order and/or for internal program marketing purposes. Message frequency depends on your activity. You may opt-out by texting “STOP”. Message and data rates may apply.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
Ohop Mutual Light Company Service Installation Request Form Font Size: Share & Bookmark Share on FacebookShare on X (Twitter)Share on PinterestShare on LinkedinShare on Email Feedback Print
