New Holstein Utilities

	Change Mailing Address
	Transferring Service
	Terminating Service
	New Residential Service
	Bill Payment Options
	Report Street Light Outage
	Voluntary Contributions
	Web Site Survey
	Quick Feedback

Welcome to New Holstein. We’re happy to be your new utility provider. Please complete and submit the online form below to begin to establish service at your new residence. We are available for connects and disconnects Monday through Friday. We do require a 24 hour notice.

INFORMATION FOR NEW LOCATION

*DUE TO THE NEW IDENTIFY THEFT LAWS, WE STILL REQUIRE THAT AN APPLICATION BE SIGNED IN PERSON AT THE UTILITIY OFFICE. WE WILL NEED TO SEE ONE FORM OF IDENTIFICATION, ALONG WITH SOCIAL SECURITY # OR DRIVERS LICENSE #.

*Date of new service

New Address

*Name(s) on account

*Street address

Apartment number

*City

*State

*Zip

*Rent or Own Rent Own

*Daytime phone number

*Evening phone number

Mobile phone number

Email

Emergency Contact phone number

Landlord name

Landlord phone number

Previous Address

*Street address

*City

*State

*Zip

*Rent or Own Rent Own

Landlord name

Landlord phone number

Employer

Employer name

Daytime phone number

Spouse or Roommate Information

Name

Employer name

Daytime phone number

Second Roomate

Name

Employer name

Daytime phone number

Any other specific instructions:

For our meter reader's safety, if you own a dog, what breed is your canine?

Dog's name

Are there any other animals
in your home? Please list:

*To help reduce spam, please answer this math problem:
2 + 2 =

*Required fields: this information is required to open a new account for electric service. The utility may need to contact you to verify any or all of the information.