Upon receipt of a written confirmation, the Customer must schedule their disconnection with the Customer Service Department at 905-372-2193. Please note: two business days of notice is required. Secondary Service Request Today's Date Proposed in Service Date Customer Information Customer Service Address Street, City, and Postal Code Phone Email Address Mailing Address If Different From Service Address Contractor Information Electrical Contractor Name Contractor Address Contractor Phone Contractor Email Contractor Cell Phone Number Contractor Fax Service Details Proposed Main Switch - How many Amps? Voltage Voltage 120/240 120/208 347/600 120/208 Network Customer Class Customer Class Commercial Residential Industrial Power Supply Power Supply Overhead Underground Overhead to Underground Underground to Overhead Service Type Service Type New Upgrade Temporary Meter Base Location Meter Base Location New Meter Room Existing Outside Inside Moving Out Relocate Ganged Position Comments 8 + 15 = Submit
