General InformationNot all Clark Public Utilities programs will transfer to your new address. If you are enrolled in any programs, (i.e. GOSP/Equal Pay/Green Lights, etc.) please call customer service at 360-992-3000.Name* First Last Email Address:* Phone Number:*Service Stop InformationAddress to stop service:* Street Address Address 2 (Unit/Apt/Suite #) City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date you want service stopped:* MM slash DD slash YYYY Please select the current or a future date. To choose a date prior to today, please call Customer Service 24/7 at 360-992-3000.Service Start InformationAddress to start service:* Street Address Address 2 (Unit/Apt/Suite #) City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date you want services started:* MM slash DD slash YYYY Please select the current or a future date. To choose a date prior to today, please call Customer Service 24/7 at 360-992-3000.Mailing AddressIs your mailing address different than your service address?* Yes No Mailing Address:* Mailing Address Address 2 (Unit/Apt/Suite #) City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Occupant InformationSocial Security Number:*Why do you need my SSN? Social Security numbers are required to transfer electric service and this website is encrypted and secure. If you do not have a social security number, please contact Customer Service at 360-992-3000 before submitting your form and a representative will help you determine next steps.Date of Birth:* MM slash DD slash YYYY Employer:Work Phone:Co-occupant InformationWould you like to add additional household members to the account? Yes No Co-occupant's Name:* First Last Co-occupant's Social Security Number:*Why do you need my Co-occupant's SSN? Social Security numbers are required to transfer electric service and this website is encrypted and secure. If you do not have a social security number, please contact Customer Service at 360-992-3000 before submitting your form and a representative will help you determine next steps.Co-occupant's Date of Birth:* MM slash DD slash YYYY Co-occupant's Employer:Co-occupant phone:Additional InformationI am:* Buying this home Renting this home/apartment Managing this home/apartment for the owner Renting out a home I own Any additional information you wish to provide:
