Franklin Co. (614) 891-7502      Licking Co. (740) 964-2485

Service
Request Form

If this is an emergency, please call us at 614-891-7502.

To request electrical service at your home or business, please fill out the form below. A member of our staff will contact you on the same or next business day.

Name: A name is required.

Address of Service:
A address is required.

City: A city is required.

State: A state is required

Zip: A zip is required.

Phone: A phone is required.

Email A email is required.Please enter entire email.

Preferred Date: (Monday-Friday)
Please Enter a Date.mm/dd/yyyy

Preferred Time:



Please make a selection.
Work Needed:
A value is required.

Comments:
A value is required.

 


Franklin Co. (614) 891-7502      Licking Co. (740) 964-2485