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Permanent Service for a New Business.gif

Please use this form to request service for a newly-constructed business facility.

Also see information on our Requirements For Electrical Service.

Customer Information
E-mail address:
Our Privacy Policy protects your info
Customer name:
Is this a legally registered name?
Additional customer name (store #, asset#, etc.):
Site address:
Street address (no P.O. Boxes)
City:
State:
Zip:
Example: 12345
Directions to site:
Mailing address:
City:
State:
Zip:
Example: 12345
Federal ID Number:
DUNS Number:
Customer contact name:
Cust. contact day phone:
Example: 123-456-7890
Cust. contact pager number:
Example: 123-456-7890
Cust. contact cell phone:
Example: 123-456-7890
Cust. contact pager e-mail address:
Example: name@company.com
Cust. contact evening number:
Example: 123-456-7890
Cust. contact fax number:
Example: 123-456-7890
Cust. contact e-mail address (if different from above):
Example: name@company.com
Contractor Information
E-mail address:
Example: name@company.com
Contractor name:
Company name:
Contractor mailing address:
City:
State:
Zip:
Example: 12345
Contact day phone:
Example: 123-456-7890
Contact pager number:
Example: 123-456-7890
Contact pager e-mail address:
Example: name@company.com
Contact cell phone:
Example: 123-456-7890
Contact evening number:
Example: 123-456-7890
Contact fax number:
Example: 123-456-7890
Contact e-mail address (if different from above):
Example: name@company.com
Preferred method of contact:
Building Data
Type of business:
Square feet:
Operating hours/day:
Operating hours/week:
Operating days/week:
Electrical Service Requirements
Service type:
Requested voltages:
Service entrance capacity (amps):
Number of conduits:
Conduit size:
Number of conductors:
Conductor size:
Neutral size:
Electrical plans available:
Multiple meters with identical load:
Unit identifier:
Expected ready date:
New Connection Load
 
Single-Phase
Three-Phase
Heat pumps (tons):
 
Supplemental heat (kW):
 
Air conditioning (tons):
 
Electric resistance heat (kW):
 
Ventilation (kW):
 
Standard water heating (kW):
 
Booster water heating (kW):
 
Computers (kW):
 
Ovens (kW):
 
Fryers (kW):
 
Grills (kW):
 
Other cooking (kW):
 
Refrigeration (kW):
 
Motors (H/P):
 
Miscellaneous (kW):
 
Welder in use:
 
Lighting
 
Indoor
Outdoor
Fluorescent (kW):
 
Sodium (kW):
 
Metal halide (kW):
 
Incandescent (kW):
 
Peak Load Data
Total connected (kW):
Estimated witner demand (kW):
Estimated summer demand (kW):
Largest Motor
H/P:
Phase:
FLA:
LRA:
Variable speed control:
Type of motor:
Type of starter:
Starts/day:
Operating hours/day:
Operating hours/week:
To be used for:
Largest Compressor
H/P:
Phase:
FLA:
LRA:
Variable speed control:

Your Safety is Important
Learn what you must know about working safely around electrical facilities.
Safety For Contractors
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Try Paperless Billing Now

You already go online to do business with Appalachian Power. Try paperless billing and you can:

  • Your Nest thermostat is waiting! Enroll in paperless today to be in the sweepstakes!
  • Pay your bills online for free
  • Help the environment by using less paper
  • Enjoy convenience -- get online access to all of your bills

Thank you. You are signed up for paperless billing and will receive your bill notification via e-mail.

We're sorry. There was an error enrolling your account in paperless billing. For more information, contact the Customer Operations Center at (800) 956-4237.
In addition to your web password, this account has a privacy Security Code. The Security Code is a password you verbally requested with an agent for your electric account. Beginning January 7th the Security Code will be required to login. Please call our Customer Operations Center at (800) 956-4237 to verify or change your Security Code.