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Use this form only if you have never had services with HEC. Otherwise, login to manage your account.

Deposit Requirements
• Bill Deposit: $100 minimum, $300 maximum deposit (based on highest 2 months usage). Pay within 10 business days of applying for service.
• Acceptable credit letter from prior electric utility or Harrisonburg Water Department. Must be received within 10 business days of applying for service.
• UDAP: JMU students only. Purchase UDAP contract before applying for service.

Date Requested (allow 2 business days)

Account Information

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Primary SSN *

Driver's License #

Birth Date (mm/dd/yyyy)

Other Responsible Party

Other Responsible Party SSN

Contact Information

Phone *

Secondary Phone

Third Phone

Email *

Location

Service Address *

Apartment/Suite/Unit

Mailing Address (if different from service address)

Mailing Street Address

Mailing Apartment/Suite/Unit

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