Electric Service Upgrade A $75 application fee is required when submitting a new construction application to KV REMC.Name(Required) First Last Phone(Required)Email(Required) Meter Number(Required)Pole Number(Required)Service Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Mailing Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Service Type: House Shop Cell Tower Mobile Home Grain Bins Commercial/Industrial/Business Pole Barn/Garage Irrigation Other Existing Service Orientation: Overhead Underground Existing Service Size: 100 A 200 A 400 A Other Desired Service Orientation: Overhead Underground Desired Service Size: 100 A 200 A 400 A Other Desired Phasing / Voltage:Single Phase 120/240 V 240/480 V Desired Phasing / Voltage:Three Phase 120/208 V 120/240 V 240/480 V 277/480 V Projected Loading Information:Additional Load (kW): ***BELOW THIS LINE FOR OFFICE USE ONLY***Existing Peak Demand (kW): New Peak Demand (kW):New Peak Demand (kW): NotesConsent(Required) I hereby verify the information to be true and complete. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.Fee(Required) I understand that I am required to pay a $75 application fee. An engineer will only review your application once the payment is made. Only cash, check or money orders are allowed as payment.Applicant Electronic Signature (Full Name)(Required) Untitled PhoneThis field is for validation purposes and should be left unchanged.
