New or Altered Service

Tax Parcel Number*

Check one

New Service

Altered Service

*NOTE

Your request WILL NOT BE PROCESSED unless you are a current OPALCO member. Find membership forms here: https://www.opalco.com/membership-applications-for-new-service/.

Today's Date

Applicant Name

Primary Phone Number

Email Address

Mailing Address

City

State

Zip Code

Physical (911 or Street) Address of New Service

Nearest Known Power (i.e. neighbor/OPALCO facility)

Applicant's Representative and Phone Number

Electrical Contractor and Phone Number

Trenching Contractor and Phone Number

Are you currently an OPALCO member?*

Yes

No

Have you previously installed OPALCO facilities?

Yes

No

Find the Facilities Installation Specification Booklet here: https://www.opalco.com/about-your-account/apply-for-new-construction/

I have reviewed OPALCO's Facilities Installation Specifications

Is this a Commercial Account

Yes

No

Please describe project in detail and include specific type of commercial account.

Is this a residential account?

Yes

No

Type

House

Mobile/Manufactured Home

Square Feet

Square Feet of Out Buildings with Power

Check if applies:

Well pump

Heat Source

Electric

Propane

Other

Describe

Do you plan to install solar now or in the future?

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Size of Array

Type of Electric Heat

Baseboard

Heat Pump

Forced Air Furnace

Other

Describe Heat Source

Kitchen Oven/Burner

Electric

Propane

Clothes Dryer

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Water Heater Type

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Number of Water Heaters

EV Charger Type

Other Misc Loads

Electrical Service

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Legal Owner(s) as shown on deed and/or Signators Name(s) if ownership is under and LLC, Trust or Corporation:

Please Include a Short Description of Your Project or Request

I'm interested in being contacted by Rock Island Communications about internet service on this site.

Rock Island Communications is OPALCO's fully owned subsidiary providing internet services to San Juan County.

VOLUNTARY Demographic Information

Why do we ask? This information helps us access grants and other funding opportunities to better serve you!

Veteran?

YES

NO

Disabled?

YES

NO

Send me a copy of my responses

*NOTE

**VOLUNTARY** Demographic Information

VOLUNTARY Demographic Information