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Residential Application Card814 Rev1

Residential Application Card814 Rev1 2025

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4.9 out of 5

45 votes

The document is an application and contract for electric service with PSEG Long Island, requiring the applicant's personal information, service address, and agreement to pay applicable rates. It includes a certificate of compliance for new or existing residential construction, ensuring adherence to insulation standards set by the New York State Public Service Commission. The document emphasizes that electric service will not be connected if compliance is not met.

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Click ‘Get Form’ to open the Residential Application Card814 Rev1 in the editor.
Begin by entering your full name in the 'APPLICANT'S FULL NAME' section. Ensure that you include your first, middle, and last names for accurate identification.
Fill in your service address, including the street number, street name, apartment number (if applicable), and nearest cross street. This information is crucial for service setup.
Indicate whether you own or rent the premises by selecting the appropriate option. Provide your telephone number and email address for contact purposes.
Complete the former address and employment details, including occupation and years at both current and former addresses. This helps establish your residency history.
Review the agreement section where you acknowledge payment of applicable rates and compliance with company regulations. Ensure you understand these terms before signing.
Finally, sign and date the application at the bottom of the form. If applicable, have an agent print their name as well.

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Versions	Form popularity	Fillable & printable
2014	4.9 Satisfied (45 Votes)
2014	4 Satisfied (37 Votes)

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