DERMS Interruptible Heat Program
Applicant Information
First Name
Last Name
Street
City
State
Zip Code
Email Address
Phone Number
Account Number
Customer Type
Please select...
Business
Residential
Heating Equipment
Manufacturer
Model
Serial Number
Capacity (kilowatts)
Documents
Example documents include, but are not limited to, pictures of the equipment label or a copy of your most recent bill.