Whitby Hydro Electric Corporation Service Request Form

100 Taunton Rd. E., Whitby, ON L1N 5R8
T: 905-668-5878 F: 905-666-8374

Please complete this form. Fields marked with a * are required.

Proposed In Service Date:* - -

Customer

Name:*
Account Number:
Service Address:*
Mailing Address:
Phone:* - -
Email:

Electrical Contractor/Consultant

Name:
Mailing Address:
Phone: - -
Email:
Cell: - -
Fax: - -

Disconnect/Reconnect Only: Yes No

Date Requested: - -

Proposed Main Switch: A
Voltage: 120/208V 120/240V 347/600V

Customer Class: Commercial industrial Residential

Service Type: Upgrade Temporary New Permanent Unmetered

Power Supply: Overhead Underground O/H TO U/G U/G TO O/H

Meter Base Location: Existing Outside Inside Moving Out Standard Location
Relocate Ganged Position

Comments:

Please note that Whitby Hydro Electric Corporation has a "Services Agreement" with Whitby Hydro Energy Services to oversee the installation of hydro to the above mentioned address. Please contact Mr. Kevin Whitehead at 905-668-5878, extension 236 regarding your hydro servicing requirements.

If you have any questions or concerns, do not hesitate to contact the undersigned.

John Sanderson, P.Eng.
President - Whitby Hydro Electric Corporation

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