Electric Service Upgrade FacebookThis field is for validation purposes and should be left unchanged.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 NumberService 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
