Metering, Power Quality Investigation, Fault Protection, or Information Request Form

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Are you a consultant submitting this application on behalf of a customer?

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Consultant Information

Consultant Company Name

Consultant First Name:

Consultant Last Name

Phone Number:

Email Address:

Street Address:

Town/City:

Province:

Postal Code:

Customer/Company Information

Customer/Company Name:

Contact First Name:

Contact Last Name

Phone Number

Email Address:

Street Address:

Town/City:

Province:

Postal Code:

Required Service Information

Type of Service/Request:

Fault ProtectionInformation RequestMeteringPower Quality Investigation

Site ID:

Site ID is 13 characters in length

Date Service/Information is Required:

Customer Site Name:

Site Contact Name:

Site Contact Phone Number:

Site Contact Email

Service Location Information

LSD/Quarter

Section

Township

Range

Meridian

Subdivision/Area Name

State/Province

Supporting Documents

Submission of the below documents is not required to receive support; however, their inclusion will help the ATCO Electric team serve you better.

Electric Drawings:

Load Profiles:

Photos of Site or Access Road:

Comments:

Please include any additional information about onsite generation or facilities at the location site that may not be included in the above supporting documents and may affect the design or installation of the requested service. Please also note any known safety hazards on-site and any special permissions or requirements that ATCO Electric employees or contractors must obtain before accessing the site.

Contact Information