CompanyThis field is for validation purposes and should be left unchanged.Individual completing form(Required)ElectricianCEC MemberContractorCompany Name(Required)Contractor or Electrician completing the work.Primary Contact Name(Required)Primary contact of contractor or electrician completing the work. First Last Contractor or Electrician Phone(Required)Contractor or Electrician Email(Required) On-Site Contractor/Electrician Name First Last On-Site Contractor/Electrician PhoneMeter #(Required)Member Name (Business or Personal)(Required)Service Address(Required) Street Address City ZIP Code Member Phone(Required)Member Email How is Your CEC Service Provided(Required)CEC CANNOT TERMINATE WIRE IN AN OVERHEAD MAST LARGER THAN 500TX. PLEASE USE SMALLER RUNS OF PARALLEL WIRE OR COPPER WIRE. REFERENCE NEC CODE FOR WIRE SIZE REQUIREMENTS. Overhead Underground Please Provide Wire Size Being Used in Mast(Required)Purpose of Disconnect(Required)Select all that apply Updating Meter Base Updating Interior Breaker Panel Backup Generator Installation Damaged Equipment Moving Equipment Location, Adding Equipment or Load Received Electrical Safety Hazard Letter Other Please Describe(Required)Upload PhotoPlease upload photos.Max. file size: 100 MB. Upload Photo of Old Meter BasePlease upload photos of the current meter base. Max. file size: 100 MB. Upload Photo of Meter Base LocationPlease upload photos of the new meter base location. Max. file size: 100 MB. Explanation of work(Required)Increasing load for this service?(Required) Yes No Desired Disconnect Date (Monday - Friday Only)(Required) MM slash DD slash YYYY Desired Disconnect Time (Appointment Times Start at 9 AM)(Required) Hours : Minutes AM PM AM/PM Same-day reconnect needed?(Required) Yes No Will require work on the meter base?(Required) Yes No Are there any access issues or gate codes?Cancellation Policy Acknowledgment(Required) I agree to the cancellation policy described on the previous page.Consent(Required) I agree to the CEC Privacy Policy.Type Full Name(Required)If same-day reconnect isn't needed the responsible party must contact CEC when ready for reconnect.Please call 541-312-7778 or email esr@cec.coop when ready for reconnect.This will need to be coordinated with the county or city inspector based on your service location and inspected (green tagged) prior to reconnection. CEC reserves the right to not accept a supervisor’s letter.