INFORMATION NEEDED WHEN UPGRADING NON-COMMERCIAL ELECTRIC SERVICE
Location of property: (complete as many as possible)
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.
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.