Hydro One Remote Communities Inc. - New Connection Setup Form

Name:

Date of Birth:

Email (optional):

Phone:

Fax:

Mailing Address:

Contractor Information

Name:

Email:

Phone:

Fax:

Mailing Address:

Premise Information

Address (if Available):

Lot Number (if Available):

Who is responsible for layout costs?

Who is responsible for connection costs?

Hazardous Conditions (i.e. narrow roads, obstructed view, steep hills, vicious dogs, access issues):

Driving Directions to Site:

Connection Information
Please answer the following questions about your new connection:

What is being constructed?

Is the Foundation in?

Yes No

Will this be a Gas, Electric or Other type of heating?

For Other heating types, please specify:

Will this be an Overhead or Underground service?

Will there be central air conditioning?

Yes No

What is the voltage

Is this a Residential, Seasonal or General service?

What is the square footage of the premise?

Will there be an electric water heater?

Yes No

Is a temporary electrical service required?

Yes No

Has there been electrical service at this property before?

Yes No

What is the service size in amps?

For Other amp service sizes, please specify:

What date will you be ready for power?

Are there Hydro Poles near the lot line?

Yes No

What is the Meter Number of your neighbour to the LEFT? Note: Meter number must start with "J", followed by 7 digits; must provide at least a left or right Meter number

What is the Meter Number of your neighbour to the RIGHT? Note: Meter number must start with "J", followed by 7 digits; must provide at least a left or right Meter number

Customer Information

Contractor Information

Premise Information

Connection Information Please answer the following questions about your new connection:

Connection Information
Please answer the following questions about your new connection: