New Service Form

Do you have an account number?(Required)

Yes

Account Number

Phone

Customer Information

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Do you have a parcel number?

Yes

Parcel Number

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Notes

Type of Service

Timeframe

Do you need temporary service for construction?

Yes

This request will be processed during normal business hours. Douglas PUD staff will contact you to finalize your request.