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Service Upgrade Service Upgrade Form SERVICE UPGRADE OR DISCONNECT / RECONNECT REQUEST Name(Required)Name of Member or Contractor First Last Address(Required) Street Address City GCEC Member Account #(Required)Existing Meter #(Required)Existing Service Information 100 AMP 200 AMP 320 AMP Overhead Underground Upgrade Information 100 AMP 200 AMP 320 AMP Overhead Underground Requested Date of Disconnect MM slash DD slash YYYY Requested Date of Reconnect MM slash DD slash YYYY CommentsALL SERVICE REQUESTS ARE UNIQUE. AS SUCH EACH UPGRADE OR DISCONNECT/RECONNECT WILL BE SUBJECT TO AN ON SITE INSPECTION TO DETERMINE IF ADDITIONAL UPGRADES OR EQUIPMENT IS NEEDED TO COMPLETE THE MEMBERS REQUEST. IF ADDITIONAL UPGRADES OR EQUIPMENT ARE NEEDED, A COST ESTIMATE WILL BE GENERATED AND PROVIDED TO THE MEMBER. PAYMENT IN FULL IS REQUIRED PRIOR TO CONSTRUCTION SCHEDULING WITH GCEC LINE CREWS.Signature(Required)I HEREBY REQUEST AN ELECTRICAL SERVICE PANEL UPGRADE OR SERVICE DISCONNECT/RECONNECT AT THE ABOVE-REFERENCED LOCATION. I ACKNOWLEDGE THAT GCEC WORKLOADS MAY VARY; THEREFORE, THIS SERVICE REQUEST WILL BE SCHEDULED ACCORDINGLY AND MAY NOT BE COMPLETED ON THE DAY REQUESTED. I FURTHER UNDERSTAND PAYMENT MAY BE REQUIRED PRIOR TO THE COMMENCEMENT OF WORK. ALL SERVICE UPGRADES MUST COMPLY WITH CURRENT CONSTRUCTION AND SAFETY CODES AND ARE SUBJECT TO THE COOPERATIVE’S POLICIES, SPECIFICATIONS AND APPLICABLE CHARGES.Date of Agreement MM slash DD slash YYYY
