Apply for Residential Service Name* First Middle Last Suffix Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email* Service Effective Date* Date Format: MM slash DD slash YYYY Applicant is:* Owner Builder Electrician Tenant Other Request is for:*Service at a location already served by Citizens’ ElectricNew service at a location not presently served by Citizens' ElectricAddress where service is requested*If you will be renting, name of landlord, realtor or person to whom you pay rent:All adults over the age of 18 on lease, deed, or mortgage must provide information below. All information must be completed or a deposit will be required. 2nd Resident First Last 2nd Resident Phone3rd Resident Name First Last 3rd Resident PhoneAdditional Residents and Phone NumbersNearest relative not living with you: First Middle Last Suffix Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country PhoneAs part of the Electric Choice Program, customer information will be provided to licensed generation suppliers. This information includes your name, billing address, service address, account number and electric usage information. This allows suppliers to provide you with information about their services and makes it easier for you to take part in Electric Choice. Suppliers are required to keep your account information confidential. PUC regulations require that we release your account and electric usage information to electric generation suppliers. If you do not want your information released please check the box below. Do not release any information to licensed electric generation suppliers. • To help prevent identity fraud, we will require the Social Security Number of all applicants. A Customer Service Representative will contact you at the number you provided to request this information. You can also call us at 570-524-2231 to provide this info. You may opt out of providing your SSN. Opting out will limit our ability to verify your credit history, so a deposit may be required. • You will be advised if a cash deposit is required as a condition of receiving permanent service. • If application is for service at a location not previously served by Citizens’ Electric, please continue on to complete the NEW CONSTRUCTION INFORMATION below. • If you are applying for service at an existing location served by Citizens' Electric, please scroll down to the signatures area.New construction information Please provide as much information as possible. What type of service are you requesting? Permanent Service Temporary Service Overhead Underground (Check all that apply)Service Size (Amps)100200320OtherResidential service will be provided at 120/240 volts, single-phase, three-wire.Construction StatusIn designLand clearedFoundation inWalls upUnder roofCompleteElectrician's Name First Last Electrician's Address Street Address City Electrician's PhoneBuilder's Name First Last Builder's Address Street Address City Builder's PhoneDevelopment NameLot #Nearest pole or pad #Approximate distance to pole or pad(feet)Meter LocationDEFGHIJKLPlease indicate preferred meter location as shown on sketch above. Final meter location to be determined by Citizens’ Electric Engineering Department.Type of DwellingModularTrailerDoublewideFrame BuiltTotal Square FeetHeating Fuel Electric (Geothermal Heat Pump) Electric (Conventional Heat Pump) Electric (Baseboard or Radiant) Oil Natural Gas Propane Wood Other Features Central Air Electric Range Electric Clothes Dryer Electric Water Heater Other Special Energy FeaturesThank you for your information.Signature(s) Digital Signature - Please type your full name*Date Date Format: MM slash DD slash YYYY 2nd resident (if applicable) Digital Signature - Please type your full nameDate Date Format: MM slash DD slash YYYY Consent* I/We agree to the application terms.The applicant agrees to abide by the established rules and regulations of Citizens’ Electric Company of Lewisburg, PA, now in force, or which may hereafter be enacted or adopted for the governance and regulation of said Company, and to pay for service at the adopted rates as filed with the Pennsylvania Public Utility Commission or any subsequent rates which may be filed and accepted by the Pennsylvania Public Utility Commission. Rules, regulations and rate schedules are on file and may be inspected at the Company office. Failure to notify the Company of your intent to terminate service and/or pay your account in full upon such termination will result in the Company using those legal remedies available to secure full payment and all associated costs.EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
