Application For Electric Service Form PDF Details

Applying for electric service is a crucial step for residential customers seeking to establish or transfer utility services to their name. The Application for Electric Service form, designed for residents of Pittsburgh, PA, expressly outlines the requirements and procedures for requesting electric service. This comprehensive form highlights important prerequisites such as the applicant being 18 years or older and the necessity of providing accurate and non-fraudulent information for establishing service. Individuals are asked to provide a wide range of personal information, including social security numbers for both primary and joint applicants, service and mailing addresses, home and business telephone numbers, and a desired turn-on date for the service. Additionally, the form requests details regarding previous residences, landlord or mortgage holder information, and the accounts with past electric and gas companies, aiming to ensure a smooth service transition. Essential to this process is the submission of valid identification and property documents, either by fax or mail, to the specified address of Duquesne Light Company's Customer Care Applications Department. Moreover, the form explicitly mentions that completion and submission authorize the company to perform credit and employment checks, underscoring the importance of providing genuine information. Payments of deposits or outstanding balances are facilitated through specific channels as provided on the form, with an emphasis on certified funds to expedite service initiation. This form not only serves as an application but also as an agreement between the customer and the utility provider, ensuring both parties uphold their responsibilities for a seamless provision of electric service.

QuestionAnswer
Form NameApplication For Electric Service Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesapplication duquesne light online, application for service duquene light, duquesne light application, duquesne light led pilot program application

Form Preview Example

Customer Care Application Dept. 6-9

411 Seventh Ave.

Pittsburgh, PA 15219

APPLICATION FOR ELECTRIC SERVICE FOR RESIDENTIAL CUSTOMERS

For Office Use Only:

__________________

Account Number

IMPORTANT

You must be 18 years or older to apply for service.

If this application is not returned or the information provided is incorrect or fraudulent, service will not be established.

Applicant:

 

 

 

Social Security Number:

 

 

 

 

 

 

 

Joint Applicant:

 

 

 

Social Security Number:

 

 

 

 

 

 

 

Service Address:

 

 

 

Home Telephone Number:

 

 

 

 

 

 

City:

State:

Zip Code:

 

Business Telephone Number:

 

 

 

 

 

 

 

 

 

 

Turn ON Date:

 

Please list or correct the date from which you are responsible for service:

 

 

Mailing Address (If different from Service Address):

 

 

 

 

 

 

 

 

 

List your Previous Home Address:

 

 

 

 

From:

To:

Address:

City:

State:

Zip Code:

 

 

 

 

 

 

Electric and Gas Company Name:

Account Number(s):

 

 

 

 

 

 

Names: (Adult Occupants)

 

 

Social Security Numbers

 

1.

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

 

 

 

 

 

6.

 

 

 

 

 

 

 

 

 

 

Landlord/Mortgage Holder:

 

 

Telephone Number:

 

 

 

 

 

 

 

Address of Landlord/Mortgage Holder:

If you are a landlord and this electric service is for your tenant, please check this box:

Please fax or mail your completed application and copies of your valid picture ID, mortgage, deed or lease to the following:

Fax: (412) 393-5881Mail: Customer Care Applications Dept 6-9

Duquesne Light Company

411 Seventh Ave.

Pittsburgh, PA 15219

By submitting this application you are hereby authorizing Duquesne Light to check credit and employment history.

Signature

Date

Signature Joint Applicant

Date

Call Duquesne Light at 412-393-7100 (option 2-1-1) to pay your deposit or outstanding balance in certified funds (no personal checks). If payment has been made, fill out the payment section below.

Deposit Amount:

Outstanding Balance:

Payment Reference Number:

Payment Method:

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1. To start off, when completing the duquesne light application pdf, start in the area that features the subsequent blanks:

Ways to prepare application for service duquene light portion 1

2. Once your current task is complete, take the next step – fill out all of these fields - Telephone Number, LandlordMortgage Holder Address of, Mail Customer Care Applications, Duquesne Light Company Seventh, Signature, Date, Signature Joint Applicant, Date, and Call Duquesne Light at option to with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Completing section 2 of application for service duquene light

Many people generally get some things wrong while filling out Date in this area. Be certain to read twice whatever you enter right here.

3. This next part will be about Call Duquesne Light at option to, Deposit Amount, Outstanding Balance, Payment Reference Number, and Payment Method - type in each one of these fields.

How one can fill out application for service duquene light portion 3

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