application for electricity supply form no.dev.skelec.kn/.../uploads/pdf/newelectricitysupply.pdfst....

ST. KITTS ELECTRICITY COMPANY LIMITED (SKELEC) APPLICATION FOR ELECTRICITY SUPPLY Form No.

Owner TenantNAME:

ADDRESS WHERE SUPPLY REQUIRED

POSTAL ADDRESS

TEL: FAX:

Meter #:

Residential Industrial Government

E-MAIL

PREVIOUS OCCUPANT:

TYPE OF OCCUPANCY:

Total floor area sq ft.

Yes No

Supply Required: Overhead Underground (Single phase 2 wires) 3 phase 4 Wires

Size of main switch No. Of circuits

(a) Lighting kW (e) A/C Motors HP phase

(b) Water Heating kW (f) Washer

(c) Electric Cooker kW (g) Dryer

(d) Microwave kW

(h) Other loads or motors

Date Supply required

Date available for inspection (new installations)by Inspector

Date available for test (new installations)by Skelec

Does Applicant already receive electricity supply elsewhere? Yes No

If Yes, give address and account No

I/We make application for electricity supply by the above premises and agree:- i. To pay for electricity consumed monthly, in accordance with rates and tariffs set by the St. Kitts Electricity Company Limited (SKELEC) from time to time.

ii. To deposit with SKELEC an amount, which said sum shall be called a "security deposit" in the case of rented premises and in such amount as shall be deemedapplicable by the St. Kitts Electricity Company Limited.

iii. To be bound by the St. Christopher (Electricity Supply) act 2011 and by all Regulations made there under.

Date Signature

Signature:

Signature of Owner/Agent (if

property rented)

Name and Address of Electrician

Tel # of Electrician:

Application accepted by for St. Kitts Electricity Company Limited. Date

Owner by Agent

Name of Owner/Agent

Upgrade Amount

Signature of CSR

Security Deposit required (if applicable)Security Deposit will be reviewed and upgraded after 3 months if necessary

05/14/2014 Page 1 of 5

ST. KITTS ELECTRICITY COMPANY LIMITED (SKELEC) APPLICATION FOR ELECTRICITY SUPPLY

For Office use only

NAME Owner Tenant

1) To Metering & Connections

Please provide estimate of cost for providing an electricity supply.

Consumer Clerk Date

2) To Consumer Clerks

(a) Estimate attached in amount of $

(b) Supply cannot be provided for the following reasons:-

for metering & Connections Section Date

3. Estimate cost of Service advised to prospective customer (date) by letter/

telephone/verbally.

CSR Name Date:

4) Estimate paid (Date) (Receipt No)

(Date)Deposit paid

Inspection of Premises Approved: Form #

(Deposit)

CSR

Date

Metering and Connections Service Order # Date:

Date: Connection Completed:

5) (Date)

Date

Account uploaded

Service Location

Security Deposit Ledger updated

Account #:

(date)

Name of CSR

Date:CSR Signature:

Consumer Services Supervisor/Mgr Date:

Documents Required

Tenant: Photo ID:

Land Lord: Photo ID:

Agent: Photo ID:

Proof of Ownership

Power of Attorney

Temporary Connections: Commencement Certificate:

Commercial Customers Only: Business Licence #:

CSR Signature

Owner by Agent

Permanent Connections: Certificate of Occupancy

05/14/2014 Page 2 of 5

(Receipt No)

ST. KITTS ELECTRICITY COMPANY LIMITED (SKELEC)

APPLICATION FOR ELECTRICITY SUPPLY For office use only

Owner Tenant

Residential

(Home) (Other)

Meter No.:

(H) (M)

Meter No. :

Date:

Name:

Opening Reading

Service Address:

E-mail address:

Tel. No.

Fax: No

Previous Tenant (if applicable):

Name:

Address:

E-mail address:

Tel. No. (B)

Fax: No

CSR Signature:

Entered by: Signature:

Closing Reading

Owner by Agent

Type of Occupancy

Commercial

Please add consumer to Billing system

CSR Name

Existing account # (if applicable)

Service Order #

Service Order #

New Account No:

Postal Address

Date:

Account #

Industrial Government

05/14/2014 Page 3 of 5

Date

Remarks

PAYMENT FOR NEW SUPPLYMonth / Day / Year

Name / Business Name:

Address:

Application Form #: Cashier Initials Date: Receipt#:

Receipt Control No:

Amount

----------------------------------------------------------------------------------------------------------------------------------------------

PAYMENT FOR NEW SUPPLYMonth / Day / Year

Name / Business Name:

Address:

Application Form #: Cashier Initials Date: Receipt#:

Receipt Control No:

Amount

PAYMENT FOR NEW SUPPLYMonth / Day / Year

Name / Business Name:

Address:

Application Form #: Cashier Initials Date: Receipt#:

Receipt Control No:

Amount

----------------------------------------------------------------------------------------------------------------------------------------------

NS

NS

NS

05/14/2014 Page 4 of 5

PAYMENT FOR SECURITY DEPOSITMonth / Day / Year

Name / Business Name:

Address:

Application Form #: Cashier Initials Date: Receipt#:

Receipt Control No:

Amount

----------------------------------------------------------------------------------------------------------------------------------------------

PAYMENT FOR SECURITY DEPOSITMonth / Day / Year

Name / Business Name:

Address:

Application Form #: Cashier Initials Date: Receipt#:

Receipt Control No:

Amount

PAYMENT FOR SECURITY DEPOSITMonth / Day / Year

Name / Business Name:

Address:

Application Form #: Cashier Initials Date: Receipt#:

Receipt Control No:

Amount

----------------------------------------------------------------------------------------------------------------------------------------------

SD

SD

SD

05/14/2014 Page 5 of 5