STart ELECTRIC SERVICE Start Service Form for Renters Please fill out the form below to start electric service. Alternatively, you can download, print, and return the completed form to our office. Start Service Renters First Name * Last Name * Phone * Email * Request Service Address * Unit # Is your mailing address the same as above? Yes No Mailing Address * City * State * AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip * Requested Start Date * Have you been a customer of HMLP before? * Yes No Previous Address * City * State * AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip * Employer Name * Employer Address * By submitting this, 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 emails, using any email address you provide us. Methods of contact may include using pre recorded or artificial voice messages and/or the use of an automatic dialing device, as applicable. Agreement * I/We have read this disclosure and agree that HMLP may contact me/us as described above (Form effective 06/27/2024). Signature signature keyboard Clear Captcha Submit If you are human, leave this field blank. Δ
