ELECTRICAL LINE PLAN AND SURGE GUARD ORDER REQUEST

ELECTRICAL LINE PLAN AND SURGE GUARD ORDER REQUEST

form steps

Please complete this form to enroll in the Surge Guard/ IHEPP Bundle. For questions, contact Customer Service.

Customer Information

First Name   Middle Initial   Last Name
Daytime Phone Number () -
Evening Phone Number () -
E-mail Address
Confirm E-mail

Service Address

Address Apt or Unit Number
City    State Zip


Installation Information

Do you have cable television?
  a. If yes, who is your service provider?

Do you have a satellite dish?
  a. If yes, how many receivers do you have inside your home?

Do you have a home telephone?
  a. If yes, who is your service provider?
  b. If yes, how many telephone numbers (lines) do you have?

Is your power meter located on your house?
Do you have an outbuilding or detached garage?
Do you have a personal well?
How did you hear about OPPD's Whole House Surge Guard / In Home Electrical Protection?
Terms and Conditions.