New Service Form

Please complete the below application to apply for new service with Paducah Power System. A connect fee is required from all applicants. A deposit may also apply. Service connections occur during normal business hours, Monday through Friday 7:00 am to 4:30 pm. Service cannot be connected after business hours, on weekends or holidays. If you have any questions regarding connecting new service, please feel free to contact our office at 270-575-4000.

All fields with the asterisk (*) are required.

Today's Date:  
Date Service is Desired:  *  
Type of Request:   *
Applicant Information:
First Name:		   *
Last Name:   *
Social Security #:--  *
Driver's License #:  *
License State:  
Date of Birth:  *  
Employer:  
Nearest Relative:  *
Nearest Relative Phone:  *

Mailing Address:
Please enter the address where bills should be sent:
Street Address/P.O. Box:  *
City:  *
State:  *
Zip Code:   *

Service Address:
Please enter the address where service is required:
Service Address:   *
Service Type (Construction Required or Existing Service):   *
Comments:  
E-mail:  *
Confirm E-mail:  *
Home Phone:--   *
Cell Phone:--  
Busniess Phone:--   
Co Applicant Information:
Name:		 
SSN:-- 
Driver's License:  
License State:  
Birth Date:    
Employer:  

Online Services:
We offer a variety of services from our website, including a system for viewing bills, paying bills and managing your account. Please specify an password to login to our online system. The internet password must be between 7 and 10 characters.
Internet Password:  *
Confirm Internet Password:  
Password Hint:

Existing Service:
Have you ever had service with Paducah Power System before?

    
Account Number:
Fee and Deposit Information:
A connect fee is required from all customers for service to be connected. Based on a credit check, a deposit may also apply. For Prepay accounts a minimum of $50.00 for daily usage is required for initial services. Once your account has been created in our system, you will receive an email with your new account information, including the total amount due on your new account.

Connect Fee:  

Yard Light:
Is there a yard light at this location?
(indicate yes or no)		  
If yes, do you want the yard light left on?  
Occupancy:
If Rent, Landlord Name:		  
If Rent, Landlord Phone:  
Confirm if you own or rent the service location:
*Please Note: If renting a lease agreement may be required		   *
Please select your preferred billing method:   *
 
I have read the Rules and Regulations, Privacy Policy and Prepay Terms of Service (if applicable). I agree that a credit check may be submitted to determine if a security deposit is required.
By signing below, you give PPS express consent to send SMS text message alerts to inform you of important information about service, including account activity, balance and usage information. If your mobile number changes, it is important for you to contact Paducah Power System to update your information. This will minimize interuption of your SMS text messages.
  Applicant Name:     *