Meter Bag Request

Billable Entity (required)

Contact First Name (required)

Contact Last Name (required)

Contact Email Address (required)

Billing Address (required)

Billing PO Box or Apt

Billing City (required)

Billing State (required)

Billing Postal Code (required)

Contact Phone (required)

Requested Number of Spaces (a single meter housing is equal to one space and a double meter housing is equal to two spaces)
1234

Meter Number (exact location if meter number is unknown) (required)

Request Start Date (First Date of Meter Bag) (required)

Request End Date (Last Date of Meter Bag) (required)

Contractor (Required for ROW)

Right-of-Way Permit Number (PROW # if applicable)