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In Nevada Since 1937
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ELECTRIC SERVICE
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Commercial Service Application
DATE OF SERVICE
Date Service Requested to Begin
Service connections require a minimum 24-hour notice.
Commercial Service Application
ACCOUNT INFORMATION
This will be the billing address and contact information for the account.
Contact Information
Business Name on Account
Business Tax I.D.
Main Contact Phone Number
Billing Address
Address 2
City/Town
State/Province
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
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District of Columbia
Federated States of Micronesia
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Marshall Islands
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Northern Mariana Islands
Ohio
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Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP/Postal Code
PROPERTY LOCATION
This is where the electric service is located.
Property Location Same As Billing Address?
Yes
No
APN Parcel Number
Physical Street Address
Physical Street Address
Address 2
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP/Postal Code
APN Parcel Number
If property does not have street address, you must provide APN from Lincoln County parcel data.
BUSINESS APPLICANT INFORMATION
Must be owner, or legal partner, or corporate officer, or have power of attorney. Please note, only named individuals may request changes to the account. To the extent permitted by law, liability for non-payment of electric utility services shall be transferred to the named business applicants below in the event of payment default by the above business.
Applicant One
Full Name
Date of Birth
Email
Social Security Number
Drivers License
State
Phone Number
Phone Number
Phone Number
Type
- Type -
Home
Office
Cell
Phone
Ext:
Item weight
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Remove
Add
Add more items
more items
Best Method of Contact
Home Phone
Mobile Phone
Text
Email
Do you have a second applicant?
Yes
No
Applicant Two
Full Name
Date of Birth
Email
Social Security Number
Drivers License
State
Phone Number
Phone Number
Phone Number
Type
- Type -
Home
Office
Cell
Phone
Ext:
Item weight
Add
Remove
Add
Add more items
more items
Best Method of Contact
Home Phone
Mobile Phone
Text
Email
SERVICE AGREEMENT
Lincoln County Power shall as soon as possible, deliver to the customer, the utility grade power for use on the premises occupied by the customer. Delivery shall be to the metering point.
The customer shall purchase from Lincoln County Power and pay monthly for all power used and shall comply with all rules, regulations, and rate schedules as set forth in Lincoln County Power Retail Policy.
The customer hereby grants Lincoln County Power the right to operate, repair, and maintain the electrical distribution equipment and service line located on the premises. The customer also grants the Lincoln County Power the right to cut or trim all trees necessary to ensure the safe and reliable operation of the electrical system.
Lincoln County Power will make every reasonable effort to furnish service under this agreement. Lincoln County Power shall not be liable to the customer for damages or for any delay or failure in furnishing service hereunder when such delay is caused by acts of the elements or for any cause out of the control of Lincoln County Power.
All lines, facilities, and equipment attached on the line side of the meter shall be owned and maintained by Lincoln County Power.
The customer shall provide Lincoln County Power with a deposit of $150.00 or an amount equal to two months highest bill, for a location, whichever is higher. Deposit requirements may be waived for customers with a good credit report.
The customer is responsible for all costs incurred for collection of delinquent accounts.
If a customer is a tenant, customer understands and acknowledges that Lincoln County Power may disclose, to the legal owner of the property, any information pertaining to providing service to the customer.
If customer is a landlord, customer understands and acknowledges that they must execute a guaranty of payment.
You agree, in order for us to service your account or to collect any amounts you may owe, we may contact you by telephone at any telephone number associated with your account, including wireless telephone numbers, which could result in charges to you. We may also contact you by sending text messages or e-mails, using any e-mail address you provide to us. Methods of contact may include using pre-recorded/artificial voice messages and/or use of an automatic dialing device, as applicable.
Applicant One Signature
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Sign above
Applicant One Signature Date
Applicant One Signature Date: Date
Applicant One Signature Date: Time
Applicant Two Signature
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Sign above
Applicant Two Signature Date
Applicant Two Signature Date: Date
Applicant Two Signature Date: Time
Information below the line to be completed by Lincoln County Power District No. 1
Service Location
Service ID Number
Meter Number
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STRONG PRINCIPLES RUN THROUGH LINCOLN COUNTY POWER LINES
5155
People Served
10637
Square Miles Covered
20
Dedicated Employees
HOME
MY ACCOUNT
ELECTRIC SERVICE
Establishing New Service
Billing and Payment Options
Energy Assistance Program
Rates for Electric Service
Customer and Electric Service Policies
Tree Trimming
ENERGY SOLUTIONS
Conservation Solutions
Solar Solutions
Electric Vehicle Solutions
Together We Save
OUTAGE CENTER
If Your Power Is Out
Be Prepared - Be Safe
Power Outage Map
Safety Quiz
MY UTILITY
Location and Hours
Board of Trustees
Board Biographies
Contact Us
Financial Reports
Membership
Youth Programs
Ruralite Magazine
Careers
About Touchstone Energy