New Service Form Before You Begin Address and/or lot number shall be clearly posted at property. Gas riser/meter bracket and/or electric meter socket shall be installed where applicable. Meter site ground shall be backfilled and properly compacted to prevent settling. Ground shall be within 4” of final grade where the gas/electric facilities are to be installed. All material and obstructions shall be removed from the route/area where the gas/electric facilities are to be installed. Privately owned underground facilities and systems shall be located and marked. You will receive a confirmation email when the order is scheduled. The email will include any access requirements, order date and other important information. Please read the confirmation carefully. Begin General Information New or Existing Building New or Existing Building options New Existing Building Type Building Type Residential Commercial Residence Type Residence Type Select One Single Family Duplex Apartment Condo/Townhouse Mobile Home Farm/Rural Public Authority Outbuilding/Garage Commercial Other Sub Division Lot Number Continue Map Location Please enter a Zip Code then search for the address where you would like service. Select the exact location on the map. Zip Code City/County State House Number Street No results found. House Number Prefix Street Name Street Suffix Suffix Unit Delete: House Number: Prefix: Street Name: Street Suffix: Suffix: Unit: Service Type: Gas Permanent Electric Temporary Electric Volts: Volts 120/240 120/208 277/480 Amps: Amps 200 Amp 400 Amp 100 Amp 600 Amp 800 Amp 1000 Amp Other Phases: Phases Single Three Schedule permanent electric service now? Schedule permanent electric service now options Yes No Verify address is correct before continuing. Continue Billing Information Will this be billed to an individual or company? Individual or company options Individual Company Budget Billing Budget Billing options Yes No Please enter the account phone number and the last four digits of the SSN/TIN. Phone Number Last 4 Digits SSN/TIN No results found. Customer Select your option Add New Customer Name Phone Number Providing this phone number grants consent for MidAmerican Energy to contact you at this number using manual and automated methods. Email Mailing Address City State Select Alabama Alaska Alberta American Samoa Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Fed States Micro Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota North West Territories Northern Mariana Islands Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP Code Want to be notified? Want to be notified options Yes No Source: Phone Providing this phone number grants consent for MidAmerican Energy to contact you at this number using manual and automated methods. Email Text Continue Gas Information Plumbing Contractor Name Phone Number Email Delivery Pressure Delivery Pressure Delivery Pressure 7 W.C. (1/4 PSIG) 2 PSIG Other Max Pressure BTU Load Bracket Location Bracket Location Bracket Location North South East West Gas Use How Many? Gas Use How Many? Heating: 0 1 2 3 Water Heating: 0 1 2 3 Fireplace: 0 1 2 3 Cooking: 0 1 2 3 Generator: 0 1 2 3 Process: 0 1 2 3 Other: 0 1 2 3 Conversion Conversion options Yes No From What? Description Continue Electric Information Contractor Name Phone Number Email Permanent Electric Customer Installed MEC Installed Location Location Location Overhead Underground Customer Installed Connect At Connect At Pole Transformer Pad Mount Transformer Secondary Enclosure Wire Size Wire Size 350TX (UG) 1/0 4/0 500 750 Other Main Heat Source Main Heat Source Main Heat Source Electric Heat Gas Heat Other Water Heat Source Water Heat Source Water Heat Source Electric Heat Gas Heat Other Existing Amps Existing Amps Existing Amps 400 Amp 200 Amp 100 Amp Other 600 Amp 800 Amp 1000 Amp Main Heat Source required Solar Solar options Yes No Do you need to have temporary electric service removed? Description Temporary Electric Date Needed Location Location Location Overhead Underground Customer Installed Transformer Needed Transformer Needed Options Yes No Connect At Connect At Connect At Pole Transformer Pad Mount Transformer Secondary Enclosure Description Continue Signature Phone Number Email Want to be notified? Want to be notified options Yes No Email Text *MidAmerican Energy offers various account reminders, marketing information and power outage alerts. Message frequency may vary. Message & data rates may apply. Text STOP to cancel or HELP for help to the most recently received message. You may also call 888-427-5632 for help. View our Terms & Conditions and Privacy Policy for more information. Name Date Area Ready Date Requestor Name
