Transfer Residential Service

Current contact informaiton

Name on account*

First NameLast Name

Account number*

Social security number*

Why we need your Social Security Number: The Federal Trade Commission (FTC) is requiring financial institutions, creditors, and utilities to implement the Red Flag Rule as part of the Fair and Accurate Credit Transactions (FACT) Act of 2003. The Red Flag Rule requires us to validate a person's identity prior to establishing an account in a person's name.

Current address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Primary phone number*

Secondary phone number

Please enter a valid phone number.

Primary email address*

Date to stop current service*

Date

Note: If your previous account has a final credit balance, it will be transferred to your new account.

New service location information

New address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Do you rent or own?*

RentOwn

Landlord name

Landlord phone number

Please enter a valid phone number.

Date to start new service*

Date

NOTE: A Connexus Representative will follow-up with you to confirm your request within one business day. Service requests will not be processed until confirmation is made. By submitting this form I understand there will be a $15.00 service processing charge.

Please verify that you are human*

By providing your phone number(s), including any mobile number, you authorize Connexus Energy and its agents to contact you regarding your account using any means, including automatic telephone dialing systems, prerecorded voice messages, text messages, or other forms of communication. You understand that message and data rates may apply. Your consent is not a condition of receiving service. If your number changes, you agree to promptly notify Connexus Energy.