NONRESIDENTIAL SERVICE REQUEST/LOAD SHEET FORM

To provide you with timely and accurate service, please complete all five sections of the form.

Duke Energy Carolinas will assess a nonrefundable $15 connect fee for all newly activated electric accounts.

The Delivery Information and Load/Equipment Information sections are needed by our engineering group to accurately
meet your electrical requirements. Please be aware that a load sheet is required for each meter. If this information
is not available at this time, please complete the Billing Information, Service (Site) Address Information and Additional
Contact Information sections so we can initiate your service request.
Please email, fax or mail this information to:
Email - [email protected] Fax - 800.943.6910
Mail - Duke Energy, Attn: Business & Industry, 9700 David Taylor Drive, Charlotte, NC 28262-2363

1) BILLING INFORMATION – Complete applicable fields.

Customer’s Legal Billing Name (Should match Federal Tax ID)

Form of Ownership: q Sole Proprietor q Corporation q Limited Liability Corporation

q Partnership q Limited Liability Partnership
Doing Business As (DBA) Federal Tax ID/SSN
Mailing Address:
City: State: ZIP:
Additional Mailing Information:
Billing Contact Name: Title:
Daytime Phone: Fax:
Email:
Property Ownership: q Own q Rent/Lease
Name of Property Owner: Phone:
Have you ever had nonresidential service with Duke Energy? q Yes q No
If yes, list other Duke Energy account number or service address:
If no, provide Dunn & Bradstreet (D&B) number if applicable:

2) SERVICE (SITE) ADDRESS INFORMATION – Complete applicable fields.

q New Service (No Existing Service Lines)
q Existing Service (Existing Service Lines)
q Upgrade Existing Service (No Existing Service Lines)
Provide Duke Energy account number or meter number:
Service Address/Location:
City: State: ZIP:
County:
Directions from a main road:

What type of business or facility will this meter serve? (e.g., auto assembly plant, high school, retail shoe store)

Actual Hours of Operation: M - F Weekends Other

Requested By: Title:
Daytime Phone: Fax:
Email:
Alternate Phone: Date Service Needed:

NOTE: A final inspection may be needed to complete your service request. Check with the appropriate City or
County Inspections Dept. to determine their communication procedures with Duke Energy.
3) ADDITIONAL CONTACT INFORMATION – Complete applicable fields.
General Contractor/Builder Name: Electrician/Engineer Name:
Daytime Phone: Daytime Phone:
Alternate Phone: Alternate Phone:
Fax: Fax:
Email: Email:

4) DELIVERY INFORMATION – Complete applicable fields. (We do not accept electrical schematics in place of
this form)
Total (kW) Load Additional (kW) Load Only
Check box if this will be service to a shell space. q
Check Service Desired: q Overhead q Underground
Customer Wire Type: q Copper q Aluminum
Check Phase Desired: q Single Phase q Three Phase
Delivery Voltage: (Volts) Number of wires: q 3 q 4
Service Panel Size: Amps
Number of Conductors Per Phase: Size of Conductors:
Number of Neutral Conductors: Size of Neutral:
NOTE: If underground Three Phase Service is required, the maximum number of conductors per phase varies
based on wire size. (For example: 8 for 750MCM to 1200MCM and 10 for 600MCM and smaller.)
Gross Square Footage: Conditioned Square Footage:
Duke Energy Work Request:
Send Confirmation Fax to: Fax:

5) LOAD/EQUIPMENT INFORMATION – Complete applicable fields.

LIGHTING/RECEPTACLE WATER HEATING

Interior Lights Domestic Sanitary Booster Instant/Tankless
(Total kW)
Exterior Lights Quantity Quantity Quantity Quantity
(Total kW)
Receptacles Gallons Gallons Gallons
(Quantity)
Receptacles Total kW Total kW Total kW Total kW
(Total kW)

HEATING/COOLING
Type of Heat/Cooling QTY Size kW
List heat/cooling source below. (Examples: heat pump, (Tons or (per unit)
strip heat, electric furnace, chiller, water source heating) kW preferred)

Back-up heating source (if applicable)

Provide Starting/Lock rotor Amps for the largest unit . If this unit has starting compensation, provide a
description:
Note: Starting compensation required on units greater than 5 tons (7.5kW).
 Food Service Equipment
Type of Equipment Description QTY kW
(Cooking, refrigeration, other) (Range, refrigeration, freezer, (per unit)
microwave, etc.)

Motor Data
Description of Each Motor
HP Starting Frequency No. Three Phase
(Motors not included elsewhere QTY
(per unit) Times/Interval Y/N
on this form)

Provide Starting/Lock rotor Amps for the largest motor . If this motor has starting compensation, provide a
description:
Note: Starting compensation required on units greater than 7.5HP (7.5kW).

Other Miscellaneous Equipment

Type of Equipment QTY Amps Volts kW Three Phase
(Welder, X-ray, MRI) (per unit) (per unit) (per unit) Y/N

Provide Starting/Lock rotor Amps for the largest unit . If this unit has starting compensation, provide a
description:
Note: Starting compensation required on units greater than 5 tons (7.5kW).

Special Instructions: Please copy load equipment page for additional equipment that was not captured
above. Please enter any special instructions below:

Questions? Please call 800.653.5307

Form 10230 (R11/07) Stock Code 89682

©2013 Duke Energy Corporation 13-0141R 10/13