Start New Service

If you are a new PSE customer or requesting new service for a location already equipped with electric or natural gas meters, complete this form.

Certification *


Contact Information
Apartment/Community Name: *
Required for property managers.
Business Name: *
Required for business owners.
Email Address: *
Phone Number: *
Fax Number:
Service Information
Service Start Date: *
Service Type: *
Address 1: *
Address 2:
City: *
State:
ZIP Code: *
Owner/Tenant Information
First Name: *
Middle:
Last Name: *
Personal Identifiers
Provide identifiers based on the property type. If Residential, select a type from the dropdown, then enter a value in the textbox provided.
Residential ID: *
Federal Tax ID: *
Required for business owners.
UBI ID: *
Required for business owners.
Phone Numbers
Home: *
Work:
Ext:
Mobile/Cell:
Employment Information
Employer Name:
Length Of Time With Employer:
 years,    months  
Previous Address
Address 1: *
Address 2:
City: *
State/Province: *
ZIP/Postal Code: *
Mailing Address
This is where the tenant's bill should be mailed.
Same as Service Address?
Care Of:
Address 1: *
Address 2:
City: *
State: * ZIP/Postal: *
Co-Tenant Information
First Name:
Middle:
Last Name:
Phone Numbers
Home:
Work:
Ext:
Mobile/Cell:
Employment Information
Employer Name:
Length Of Time With Employer:
 years,    months  
Previous Address
Address 1:
Address 2:
City:
State:
ZIP/Postal Code:
Mailing Address
Same as Service Address?
Care Of:
Address 1:
Address 2:
City:
State: ZIP/Postal:
Verification
All information contained herein is verified by this person.
Property Manager: *
Owner/Tenant: *
Business Owner/Delegate: *
Co-Applicant: *
Comments:
Enter any additional comments here.
Add Attachment
When you have finished entering your information, click the button below to submit your request.