If you are moving, you may need to provide your new utility company with a credit reference. To receive this information, please complete the form below. If you are moving and need to discontinue your service, please Click Here.

Fields indicated with (*) below are required.

Name of person placing request	*
Account Number
Name on Account
First Name	*
M Initial
Last Name	*
Address at which you receive electric service	*
City	*
State	*	- - Choose One - - Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip	*
How would you like to receive your request		Mail E-mail Fax
Mailing Address Information
Person/Business receiving credit reference
Address
City
State		- - Choose One - - Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip
Fax Information
Fax Recipient
Fax Number
Contact information if we have any questions
Daytime Phone Number	*
E-mail Address	*
RE-enter E-mail Address	*
Comments
Security Code	*