NorthWestern Energy - Establish Service Request

ESTABLISH SERVICE REQUEST

Complete this form to establish new service for a residential account. If you are trying to establish service for non-residential purpose then please contact us.

If you are transferring service from one location to another, please use the Transfer/Discontinue service feature.

* Required entry

General Information

Your Name* :

Start Date* :

Meter will be read within 3 business days.

Primary Account Holder

Name* :

Prefix :

SSN or DL #* :

(or)

At least one is required

Date of Birth (MM/DD/YYYY)* :

Passcode* :

Decline

Primary Phone* :

( ) -

Is this a mobile
phone? *

YesNo

Business Phone :

( ) -

Email Address* :

Employer :

Secondary Account Holder - Legal Spouse

Required entry when completing this section.

To add a secondary account holder that is NOT a legal spouse, skip this section and Contact Us.

Name* :

Prefix :

SSN or DL #* :

(or)

At least one is required

Date of Birth (MM/DD/YYYY)* :

Primary Phone* :

( ) -

Is this a mobile
phone? *

YesNo

Business Phone :

( ) -

Employer :

Requested Service Address

Establish Service at this address

Service Address* :

Street Number and Name

Apt/Lot/Unit # :

Unit Description :

E.g. Basement

City* :

State* :

Zip/Postal Code* :

Mailing Address - If Different than Service Address

Required entry when completing this section. Address Tips

Mailing Address and Service Address are the same

Mailing Address* :

Street Number and Name

Apt/Lot/Unit # :

Unit Description :

E.g. Basement

City* :

Country* :

USACanadian PCInternational

State* :

Zip/Postal Code* :

Additional Information

Are you a current NorthWestern Energy customer? * :

CurrentPreviousNew Customer

Please provide your current address:

Current Address* :

Street Number and Name

Apt/Lot/Unit # :

Unit Description :

E.g. Basement

City* :

Country* :

USACanadian PCInternational

State* :

Zip/Postal Code* :

Are there any special considerations for the meter reader at this service address? For example, aggressive dog or locked gate. If so, please explain:

By submitting this information, I agree that all the services available at the Requested Service location will be placed in my name.

You must enter the characters below before submitting this request.

Verification Characters :

Enter Verification Characters :