Service Removal

Instructions:

Please complete the form below if you need to remove WH Facilities due to demolishing a meter structure or no longer needing WH Facilities on your property.

Once we receive your request, a WH Construction Services Representative will contact you to review and to set up an on-site meet with a WH Field Engineer.

Applicant Contact Information

First Name

Middle Initial

Last Name

Phone

Account #

Service Location Information

Service Location Street Address

Apartment/Unit #

City

State

Zip

Construction Billing Information

Who is responsible for billing of this project?

Owner

Contractor

Authorized Representative

Contact First Name

Contact Last Name

Construction Billing Email

Construction Billing Phone

Construction Billing Address

Suite/Unit #

City

State

Zip

Contractor Information

Demolition Contractor Business Name

Contact First Name

Contact Last Name

Contractor Phone

Contractor Email

Other Information

Demolition type:

Earliest Removal Date (meter and service):

Please allow (15) working days to de-energize and/or remove the electric service lateral and the meter.

Please note that adverse weather conditions may impact the removal request date. If any issues and/or changes occur during this process, please contact a Construction Services Representative at (763) 477-3150.

Electric Meter Number(s):

Is there other Wright-Hennepin Electric equipment to be removed?

Pole(s)

Transformer(s)

Security Light(s)

Questions/Comments:

Authorization

I certify that I own or am the authorized representative of the person(s) who owns the property at the above listed address(es). I also certify that removing this service(s) will not endanger human health or life or cause damage to property and will hold Wright-Hennepin Cooperative Electric Association harmless and indemnify it for any injury, loss of life or property damage.

Print Name

Signature Date

Your Signature

Sign Above

This cooperative is an equal opportunity provider and employer.

New Look!: