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Service Change Checklist

INFORMATION NEEDED WHEN UPGRADING NON-COMMERCIAL ELECTRIC SERVICE

What type of phone is this?
What type of phone is this?

Location of property: (complete as many as possible)

Non-Commercial: Building service to what type structure (choose one)
Type of heat building will have (choose one)
Size of Service needed (choose one)

If multiple electricians or contractors are bidding this job, please list all names.

By signing this form, you're granting permission to Co-Mo Connect Powered by Co-Mo Electric Cooperative to provide

information regarding this service upgrade request to the electrician(s) and contractor(s) listed above.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Please complete and submit this form and send payment for the Non-Refundable Processing Fee to Co-Mo.  Once these items are received, a Service Planning Technician will contact you by phone to set up a staking appointment to discuss your upgrade.

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