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Jefferson Utilities Employees and Customers











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New Residential Service

Welcome to Jefferson Utilities. We're happy to be your new utility provider.

In order to establish service at your new residence, please complete and submit the online form below or call our office at 920-674-7711 Monday through Friday between the hours of 7:30 a.m. to 4:30 p.m. We would appreciate at least 24 hour notice to establish service at your new residence.

*Date of new service
New Address
*Name(s) on account
Social Security Number
Driver's License number
Driver's License state
*Street address
Apartment number
*City
*State
*Zip
*Rent or Own Rent   Own
Landlord name
Landlord phone number
*Daytime phone number
*Evening phone number
Mobile phone number
Email
Emergency Contact phone number
 
Previous Address
*Street address
*City
*State
*Zip
*Rent or Own Rent   Own
Landlord name
Landlord phone number
 
Employer
Employer name
Daytime phone number
 
Spouse or Roommate Information
Name
Social Security Number
Employer name
Daytime phone number
Second Roomate
Name
Social Security Number
Employer name
Daytime phone number
 
Any other specific instructions:
For our meter reader's safety, if you own a dog, what breed is your canine?
Dog's name
Are there any other animals
in your home? Please list:
*What is 2 x 2? (This reduces spam.)
 

*Required fields: this information is required to open a new account for electric service. The utility may need to contact you to verify any or all of the information.

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