Commercial Electric Application
Account #
Service Address
*
Date of Application
Date Service Requested By
*
Type
*
Select an option:
Move In (existing)
New Service
Upgrade Existing Service
Service Requested
*
Select an option:
Permanent
Temporary
Seasonal
Status
*
Select an option:
Owner
Tenant
Customer Information
Business Name
*
Federal ID #
Tax Exempt #
Business Phone Number
Business Fax Number
Business Email Address
Contact Name
*
Contact Phone Number
*
Are you a Previous RUC Customer
Yes
No
Billing Address
City, State, Zip
PLEASE NOTE: A deposit or an irrevocable Letter of Credit will be required before service is provided.
If you rent this service location:
Name of Landlord
Landlord Phone Number
Landlord Address
City, State, Zip
The undersigned warrants that the information on this application is true, provided without intentional omission.
Applicant Signature
*
Applicant Signature Date
*
Landlord Signature
Landlord Signature Date
Important: Reedsburg Utility may require positive identification and/or a service deposit as allowed by the Wisconsin Public Service Commission. Before service can be furnished, this application must be completed in full and submitted to Reedsburg Utility Commission. Missing or incomplete information will delay service. A copy of the building / electric permit and a completed Wiring Statement must be provided prior to service connection for new or upgraded services.
Service Information
For New Customers Only
Style
Select Option
Overhead
Underground
Zone
Select Option
Single Family
Duplex
Multi-Family
Commercial
Other
Voltage
Select Option
120/240 Volt Split PH
120/208 Volt Wye
277/480 Volt Wye
Other
Amperage
Select Option
100 Amp
200 Amp
400 Amp
600 Amp
800 Amp
1000 Amp
1200 Amp
Other
Metering Requirements
To be completed by Reedsburg Utility
Meter Type
Instrument Rated
Self Contained
Information
Ganged Socket
Drawings/Doc Required
Building / Apt Drawing Required
CTs
PTs
Additional Information
Instruments in CT/PT Cabinet
Instruments in Switch
Drawings / Doc. Required
Electrician Statement / Information
Electricians Name
Electricians Company
Electricians Address
City, State, Zip
Electricians Telephone Number
Building Permit #
Signature (Electrician or Owner)
Date
Important: Before service can be furnished, this application must be completed in full and submitted to Reedsburg Utility Commission. Missing or incomplete information will delay service. A copy of the building / electric permit and a completed Wiring Statement must be provided prior to service connection for new or upgraded services. The electrician will be required to complete a Wiring Statement indicating that the wiring for electricity was performed on the premises described and represents that all work complies with the provision of the Wisconsin State Electrical Code. Additionally, the electrician will be required to insure that all meter sockets have been properly assigned and permanently identified to the serving main of the address described.
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indicates required fields