Electrical Service Application

Application for Electric Service
I hereby authorize Public Utility District No. 1 of Franklin County to furnish my premises with electric energy, subject to all of the provisions of PUD Rules and Regulations and Rate Schedules now existing or hereafter adopted, copies of which are available for inspection at all times at the District office, and agree to pay all charges as provided for therein and that the obligations of the parties are covered thereby. This application shall automatically grant the District the right to access upon the property for performance of the District's services.

Full Name:
Soc. Sec. No.:
Home Phone:
Work Phone:
Email Address:
Driver's License No.:
Employed by:
Occupation:
Spouse's Name:
Employed by:

Have you ever received service from Franklin County PUD before?

Where do you want electricity turned on?
When do you want electricity turned on?

Your mailing address:
City:
State:
Zip Code:

Nearest relative not living with you:

	Name:
	Address:
	City:
	State:
	Zip Code:

Personal reference:

	Name:
	Address:
	City:
	State:
	Zip Code:

	Code:		Enter the characters from the image above exactly as they appear.

Please be advised that your deposit will be billed to you with your first invoice.

If you would rather download a .pdf version of this form and snail mail it back to us, click on the link below. Please mail your completed form to:
Franklin PUD - Engineering Dept.
Attn: B. Wyatt - Box 2407 - Pasco, WA 99301

Application for Electrical Services (20 KB)

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