Residential Service Application
Have you had previous electric service with Lumbee River EMC?
Yes
No
Application For
New Service
Transfer of Existing Service
New Construction
Applicant's Details
First Name
Last Name
Phone Number
Email Address
Social Security #
Driver License #
State
Date of Birth
Spouse's Details
First Name
Last Name
Phone Number
Email Address
Social Security #
Driver License #
State
Date of Birth
Address
Street
City/Town
State/Province
Zip/Postal Code
Is the billing address same as the service address?
Yes
No
Date that you want this service in your name
All applications for service are subject to approval and/or credit check.
Service will not be established in Applicant''s name until all applicable fees are paid.
By submitting this application, the Applicant acknowledges that a photo ID and Social Security Verification may be required and agrees to provide one if requested.