Load Form

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Date/Time 6

Date/Time 5

Date/Time 4

Date/Time 3

Date/Time 2

Date/Time 1

ES Workflow

Comments

Load Form Status

Approved Rejected Pre Approved In Progress

In Progress Information

Secondary Voltage

Trans Co #:

Location

KVA

Engineer

Date/Time

Terms and Conditions

Type of Load form:*

Residential General Service

If no one lives in it then please select General Services

By checking this box I agree to the above conditions:*

Yes

Date/Time*

Service Location

I have the following information

Parcel ID Subdivision, Lot ,Block & Filing

Location within city limits?*

Yes No

County*

Parcel Id

Subdivision

Lot

Block

Filing

911 Address of Project*

*If you do not have a 911 address provided by the county/city please use TBD as the house number and include a street name.

911 Zip Code - City

Secondary Information

Secondary Voltage*

Meter Location*

Structure Pedestal

Photo Voltaic*

No Yes

CTs Required*

No Yes

Phase*

Single Three

Voltage - 120/240 1 Phase 3 Wire *

Voltage - 120/240 1 Phase 3 Wire - with CTs*

Voltage -120/208 1 Phase 3 Wire*

Voltage -120/208 3 Phase 4 Wire*

Voltage -120/208 3 Phase 4 Wire - with CTs*

Voltage - 277/480 3 Phase 4 Wire*

Other - Secondary Voltage Requested (Subject to approval by Holy Cross Energy)*

You need to have prior approval for this option.

What is the service size?*

House Square Footage*

Secondary Wire Type*

Aluminum Copper

Main Fuse / Breaker Size*

Size of Entrance Conduits*

Qty of Entrance Conduits*

Secondary Wire Size*

Cable Distance in Feet*

(Transformer to Meter)

Number of Conductors Per Phase*

Nearby Holy Cross Asset

Click on image examples below to view asset details.

Type*

Please see examples above

Number*

Alphanumeric, dash and/or underscore only. No Spaces

Photo of HCE Asset

No File Chosen

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Allowed file types (jpg,jpeg,gif,png,bmp,tif,pdf)

Calculated Maximum Demand (NEC) in kW*

Snowmelt/Drive, Walkway, Gutter Heat Tape, Air Conditioning, Electric Water Heater, etc.

Please upload a sketch or site plan including: roadways, driveways, sidewalks, fences, transformer location (overhead and underground), and proposed meter location(s). All meters shall be installed in a location that is accessible at all times.*

No File Chosen

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Allowed file types (jpg,jpeg,gif,png,bmp,tif,pdf)

Comments / Remarks

Contact Information

Owner's Name*

Owner's Phone

Owner Email Address

Electrician's Name*

Electrician's Phone Number*

Electrician's Email Address*

General Contractor (Company Name)

General Contractor Contact Name

General Contractor Contact Phone

General Contractor Contact Email

Name of Holy Cross Engineer Contacted