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Commercial Electric Service Application Form

* Indicates a Required Field *
If you are moving out of the Heber Light & Power Service area you must contact the
business office at 435-654-1581. Thank You

Are you a previous HL&P Customer?

Yes No

If yes, please provide your previous address.

Previous Address:

Previous City:

Is this an existing building or new construction?

Existing Service New Construction

Customer Information:

Business Name

Tax ID Number

First Name:

Middle Initial:

Last Name:

Home Phone Number:

Cell Phone Number:

Email Address:

Please supply a minimum of two (2) vaid forms of identification:

Last 4 Digits of Social Security #:

Drivers License/ID #

Passport #:

Residence Information:

Service Start Date:

Own/Rent:

Own Rent

Address:

City:

Zip Code:

Mailing Address - (If different than Service Address):

Mailing Address:

Mailing Address - Apt/Suite#:

Mailing City:

Mailing ZIP code:

Responsible Party

First Name:

Middle Initial:

Last Name:

Phone Number:

Please supply a minimum of two (2) vaid forms of identification:

Last 4 Digits of Social Security #:

Drivers License/ID #

Passport #:

If Renting the following information is required:

Landlord's Name

Landlord's Phone:

Agreement Information:

May we contact you via email and/or text message?

Yes No

** A processing fee of $20.00 will be applied to the first billing. **
I understand by clicking the 'Agreement Box' that I agree to be bound by Heber Light & Power's Company Rules and Regulations. Said rules and regulations can be viewed at: Customer Service Agreement Policy

Agreement Box

Residential Electric Service Application Form

* Indicates a Required Field *
If you are moving out of the Heber Light & Power Service area you must contact the
business office at 435-654-1581. Thank You

Are you a previous HL&P Customer?

Yes No

If yes, please provide your previous address.

Previous Address:

Previous City:

Is this an existing building or new construction?

Existing Service New Construction

Customer Information:

First Name:

Middle Initial:

Last Name:

Home Phone Number:

Cell Phone Number:

Email Address:

Please supply a minimum of two (2) vaid forms of identification:

Last 4 Digits of Social Security #:

Drivers License/ID #

Passport #:

Employer Information:

Employer:

Employer Address:

Employer City:

Residence Information:

Service Start Date:

Own/Rent:

Own Rent

Service Address:

City:

Zip Code:

Mailing Address - (If different than Service Address):

Mailing Address:

Mailing Address - Apt/Suite#:

Mailing City:

Mailing ZIP code:

Applicant's Spouse/Roommate Information:

First Name:

Middle Initial:

Last Name:

Phone Number:

Employer:

Please supply a minimum of two (2) vaid forms of identification:

Last 4 Digits of Social Security #:

Drivers License/ID #

Passport #:

Landlord's Name

Landlord's Phone:

Agreement Information:

May we contact you via email and/or text message?

Yes No

Agreement Box