Employee Access

Service Request Form

Distribution Transmission Storm Restoration Substations Technical Services Electrical Services Service Request

Please call your local office [Kentucky (859) 255-5788, Virginia (540) 427-5459, Oklahoma (918) 455-8630] or fill out the form below and an Elliot representative will contact you to schedule your service appointment.

* First Name:
* Last Name:
* Email:
Phone: () -
Alternate Phone: () -
* Best Time to Call:
* Address:
* City:
* State:
* Zip:
* First Date:
* First Time:
* Second Date:
* Second Time:
* Third Date:
* Third Time: