Fill out the form below or download the PDF version to get your electric service turned on. A deposit is required after completion of this form. If you have any questions regarding this application please contact Customer Service at 978-346-8311. We look forward to serving you!

Download the Start Service Form

GENERAL INFORMATION

If you have a co-applicant.
Merrimac, MA 01860

BUSINESS SERVICE

RESIDENTIAL SERVICE

Merrimac, MA 01860

BILLING ADDRESS

RENTED BUSINESS PROPERTY INFORMATION

RENTED RESIDENTIAL PROPERTY INFORMATION

CO-APPLICANT INFORMATION

APPLICANT SIGNATURE

IT IS EXPRESSLY UNDERSTOOD AND AGREED TO THAT THE APPLICATION IS NOT A CUSTOMER OF RECORD UNTIL (1) THIS APPLICATION IS COMPLETED AND ACCEPTED (2) ALL REQUIREMENTS OF THE RULES, REGULATIONS AND RATES OF THE DEPARTMENT HAVE BEEN COMPLIED WITH AND (3) ANY REQUIRED DEPOSIT HAS BEEN PAID IN FULL. FAILURE TO COMPLY WITH THESE CONDITIONS WILL RESULT IN IMMEDIATE TERMINATION OF SERVICE. THE UNDERSIGNED AGREES THAT THE APPLICANT WILL PROVIDE AT LEAST 10 DAYS NOTICE OF ANY INTENTION TO CLOSE THE ACCOUNT OR TERMINATE SERVICE AND THAT THE APPLICANT IS LIABLE FOR ANY AND ALL CHARGES FOR SERVICE UNTIL SUCH TIME AS THE DEPARTMENT OBTAINS ACTUAL METER
READINGS TO CLOSE THE ACCOUNT. THE UNDERSIGNED MAKES APPLICATION FOR UTILITY SERVICE AT THE PREMISES LOCATED AS DESCRIBED ABOVE. IT IS EXPRESSLY UNDERSTOOD THAT SUCH SERVICE WILL BE PROVIDED IN ACCORDANCE WITH THE PUBLISHED RULES AND REGULATIONS NOW IN EFFECT OR FROM TIME TO TIME AMENDED.

By signing, I confirm that this application has been prepared or examined by me. Under the pains and penalties or perjury, I declare that to the best of my knowledge and belief, it and all accompanying documents and statements are true, correct and complete.

CO-APPLICANT SIGNATURE (If Applicable)

By signing, I confirm that this application has been prepared or examined by me. Under the pains and penalties or perjury, I declare that to the best of my knowledge and belief, it and all accompanying documents and statements are true, correct and complete.
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