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Residential Service Application Form

Permanent Service Request

Electric Department to send correspondence to:


Invoice(s) to be sent to above contact party?
Is it a rural address

Invoice mailing details (if different than above)


Residential Permanent Service

Customer must provide the following:

Site Plan:
Scaled or dimensioned drawing showing residence location on lot and proposed location of meter base on exterior wall of building. Indicate doors and windows in vicinity of meter base location. For underground services, show landscaping along proposed alignment for service drop.


Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

File Uploads: A file over 15MB in size will not be accepted. Please resize or lower the quality of the file prior to upload.

Service installation: To request a date for service to be “dug in”, call 403-529-8262.

Residential service upgrades

Residential service upgrades that require the City of Medicine Hat to upgrade infrastructure require a non-refundable $500 engineering assessment fee prior to proceeding with the work. The assessment fee goes toward the initial design utilized to provide the quote for the applicant. Should the applicant choose to proceed with the work after receiving the quote, the assessment fee and associated preliminary design are incorporated into the final work and related charges.