Residential Developer Request for Installation

In order to efficiently request installation of gas and electric to your new subdivision, please complete the form below and then select Submit.  Your request will be sent to the Builder/Developer team and a representative will contact you within 2 business days.  Please be prepared to provide us with a final plat.  We appreciate your business.  (*) Notes a required field

Developer Contact Information

Business or Company Name *    
First Name *    
Last Name *    
Business Address *    
City *    
State *  
Zip *    
Phone *   ( ) -
Email *    

Subdivision/Development Information

Service Address *    
Service City *    
Service State  
Service Zip    
County *    
Township *    
Lot Number *  
Square Footage *    
Type of Development

Builder Schedule

Earliest Date NIPSCO can install: