Plumas-Sierra Rural Electric Cooperative: Electricity and Telecommunication Services

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New Electric Service Request Form

Use the form below to request new electric service.

* Required Elements
* Primary Name:
Secondary Name:
* Address 1:
Address 2:
* City:
* State:
* Zip Code:
* Home Phone:
Work Phone:	ext
Cell Phone:
* Email:

*Place of Employment:
Address:
Address 2:
City:
State:
Zip Code:

Lot Number:
Assessor's Parcel Number:
Will you have a GeoExchange heating and cooling system? Yes No
Please select the energy source for the following:
Heating	Electric Gas Other
Refrigerator	Electric Gas Other
Freezer	Electric Gas Other
Stove	Electric Gas Other
Water Heater	Electric Gas Other
Clothes Washer	Electric Gas Other
Clothes Dryer	Electric Gas Other
Pumps	Electric Gas Other

Type of Service:	Temporary Permanent Residential Commercial Irrigation

Notes or Special Instructions:
After you submit this form, one of our customer service representatives will contact you to collect further information.

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