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Builders & Contractors / Permanent Service:New Home
Permanent Service for a New Home

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

Information on Appalachian Power's requirements for electrical service can be found in our Meter and Service Guide (PDF) .

Personal Data
Your name:
Contact phone number:
Example: 123-456-7890
Best time to contact you:
E-mail address:
Our Privacy Policy protects your info
Site Address 1:
Street address (no P.O. Boxes)
Service Address 2:
Apt, suite, building, unit, etc.
City:
State:
Zip:
Example: 12345
Directions to site:
Mailing address 1:
Street address (no P.O. Boxes)
Mailing address 2:
Apt, suite, building, unit, etc.
City:
State:
Zip:
Example: 12345
Nearest Friend / Relative
Name:
Phone number:
Example: 123-456-7890
Address:
Street address (no P.O. Boxes)
City:
State:
Zip:
Example: 12345
Primary Account Holder
First name:
Middle initial:
Last name:
Social Security number
Date of birth:
Example: mm/dd/yyyy
See our Privacy Policy
Driver's license number:
Our Privacy Policy protects your info
Driver's license state:
Primary phone number:
Example: 123-456-7890
Primary phone type:
Alternate number:
Example: 123-456-7890
Alternate number type:
Place of employment:
Work phone number:
Example: 123-456-7890
Are you a current or previous Appalachian Power customer:


Is there anyone living at this premise that is on life support?

Are there any special considerations for our Meter Reader?
Secondary Account Holder
First name:
Middle initial:
Last name:
Social Security number
Date of birth:
Example: mm/dd/yyyy
See our Privacy Policy
Driver's license number:
Our Privacy Policy protects your info
Driver's license state:
Home phone number:
Example: 123-456-7890
Home phone type:
Alternate number:
Example: 123-456-7890
Alternate number type:
Place of employment:
Work phone number:
Example: 123-456-7890
New Construction Details
Contractor company name:
Contractor contact day phone:
Example: 123-456-7890
Requested ready date:
Equipment information (check all that apply):



Load size in amps:
(ex. 200)
Structure type:
(ex. 2-story house)
Service type:

Approximate distance from nearest pole with transformer (overhead service) or transformer enclosure (underground service):




Details about new construction request:
Download PDF
Meter & Service Guide

 

Download PDF
West Virginia Meter & Service Guide
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