Utilities Commercial Customer Intake Form

Please take a few minutes to complete this form and ensure that we have the most up-to-date contact information for your business. If you have any questions, contact Utilities Business Resource Team at UtilitiesBizResourceTeam@fcgov.com.

1. Business Name: *This question is required.

2. Service Address: *This question is required.

3. Industry: *This question is required.

Please enter an 'other' value for this selection.

4. Utilities Account Number (123456-12345)

5. Primary Contact: *This question is required.

First Name

Last Name

Title

Email Address

Phone Number

6. Secondary Contact:

First Name

Last Name

Title

Email Address

Phone Number

7. Property Manager

First Name

Last Name

Email Address

Phone Number

8. Let us know what you want to hear more about from Utilities. Please rank these items from most to least important. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.

Outages and outage preparedness
Utility snapshot of your use compared to industry standards
Efficiency rebates
No-cost energy and water advising
No-cost building assessments
Utility rates
Utility projects in your area
E-Newsletters (general, Utilities-focused content)
Customer tools for managing utility use

9. Other topics not listed in question #8 that you'd like to hear about:

10. How can we best serve you?

Disclaimer: By submitting this form, you agree to receive email communications regarding utility services and programs.