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Three Phase Service Request

We look forward to hearing from you. Contact us by phone at 1-800-367-2832 (toll-free) or by filling out the email form below (required field names are in red):

Customer Location and Contact Information

Company Name:    Date:

Address:    Telephone:

Individual to be contacted concerning electric service:

Name:    Telephone:

Email Address:

Voltage Desired: 120/240    120/208    240/480    277/480

Size Service:    Amps:

CVEC will provide secondary conductors up to 400 amps for a 120/208 or 120/240 volt service. Services above 400 amps or 277/480 volt services will require a CT rated service and the consumer will be responsible for providing secondary conductors.

Number and size of consumer provided secondary conductors (per phase) from the transformer to the service panel:

Three-Phase Load

Total three phase heating/AC: BTU

KW rating of strip heater (for heat pumps): KW

Total Lighting: KW

Three-Phase Motors

(please list each on a separate line)

	HP	Voltage	Full Load	Est. Hours/Day Of Operation
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Total

Additional Three Phase Load (please specify):

Single-Phase Load

(If none, please indicate)

Total single-phase heat/air-conditioning: BTU

KW rating of strip heaters: KW

Total Lighting: KW

Single Phase Motors

(please list separately)

	HP	Voltage	Full Load	Est. Hours/Day Of Operation
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Total

Additional Single Phase Load (please specify):

Miscellaneous

Type Service Desired (select one) Overhead Underground

Do you own the land on which this service will be located? Yes No

Contractor Information

Contractor Name:

Contractor Address:

Contractor Office Phone: Contractor Cell Phone:

Comments:

Update information by calling the Engineering department at 800-367-2832 extension 5554.

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Central Virginia Electric Cooperative
Corporate Headquarters: 800 Cooperative Way Arrington, VA 22922-3300	phone: (434) 263-8336 toll-free: (800) 367-2832 fax: (434) 263-8339	Mailing Address: P.O. Box 247 Lovingston, VA 22949