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Application for New Electric Service / Service Upgrades

THIS IS NOT A PERMIT. Additional permits and inspections may be required and are the responsibility of the customer. ALL APPLICABLE FIELDS ARE REQUIRED.

This form is also available in PDF format here: New Electric Service

Construction Contractor Information

Billing Information

Service Location

Project Information 

Service Information

All new and upgraded services are required to be underground with meter locations approved by Holland BPW.

Estimated Load

I agree that the information on this application is correct to the best of my knowledge. I understand that any changes made to the above information or attached documents may increase the time and costs required for the Holland BPW to provide service to the project. I acknowledge that I understand and agree to the Terms and Conditions for Electric Service, available at