Connect Service
Residential Service Request

* denotes required field(s)

Service to Begin:

If your meter is located inside or behind a locked gate, please make sure it is accessible to our service person on the service requested date.

Date:*
(mm/dd/yy)
(Monday-Friday only)


Account Information:


Last Name:*
First Name:*
Middle Initial:*
Telephone Number:*
Your E-mail Address:*



Spouse Information:


Spouse Last Name:
First Name:
Middle Initial:



Service Location:


Street Number:*
Pre-direction:
Street Name:*
Suffix:
Apt/Suite:
Unit Number:
City:*
State:*
Zip:*
 /



Mailing Address Other Than Service Location:

Last Name:
First Name:
Middle Initial:
Attention:


Street Number:

 Pre-direction:
Street Name:

 Suffix:
Apt/Suite:
Unit Number:
City:

 State:
Zip:
 /



Deposit Requirements:*

Please select one of the following options. If you are a new customer, please select the appropriate credit option. If you have or had service with us previously, please indicate so we can evaluate your deposit requirements.

Click here to view the security options.

New Customer

Current Customer
Previous Customer
Must select one of the following options:

Bill deposit ($150.00)

Will supply credit reference

Bank Draft

UDAP
No additional deposit required
Street Number:
Pre-direction:
Street Name:
Suffix:
Apt/ Suite:
Unit Number:




James Madison University Students Only:

UDAP contract needs to be mailed to HEC.


Utility Deposit Assistance Program Contract Number:
Name as Displayed on UDAP Contract:







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89 West Bruce Street, Harrisonburg VA 22801
Phone: (540) 434-5361, Nights & Weekends (540) 434-5363
Fax: (540) 434-8803