- People's Electric Cooperative

Pay a Bill / Report an Outage | Start Service | Peak Day Status

Service Updgrade

Fields (* indicates a required field)

Mr.
Mrs.
Ms.

S.S.#:

Alias
Nickname
Maiden Name

Date of Birth:

Spouse
Co-Applicant
Other

S.S.#:

Alias
Nickname
Maiden Name

Date of Birth:

Mail Bill To: STREET CITY STATE ZIP

Prop. Physical Address: STREET CITY STATE ZIP

Home Telephone Number: () - OR Message Number: () -

Mobile Number: () - Fax Number: () -

Internet/E-Mail Address:

Location Information

Existing PEC Account Number needing upgrade:

Residence or Mobile Home

Barn

Commercial/Oil

Other (Please explain)

Are you the Owner?*

Yes

Owner is

Nearest Meter or Pole Tag Number to the location where construction will occur

PEC Pole Tags are 2-3 inch long aluminum tags with a stamped PEC number located on all PEC electric poles.

Driving Directions to Property:* Gate Code:

Load Information

Total Square Footage being added*:

Please detail type of electrical equipment being added:
A/C Unit :	Standard Hot Water Heater:
Heat Pump with Electric Back Up Heat Pump with Other Back Up Central Unit Window/Other Tons	Electric Gas Propane Electric On-Demand

Welder:	Compressor:
Yes No and size is Motor HP	Yes No and size is Motor HP

Total Voltage Needed:

Phases requested:
Single Phase
Three Phase

Other load-determining equipment (swimming pool, hot tub, etc.):

Other Comments?

I/We certifies that the information provided is correct and authorizes the Cooperative to seek past credit history and to release credit history for future inquiries. Consumer agrees to the terms of this Application and Agreement on today's date