Application for Service

Please complete the below information to apply for new service.  Service cannot be connected on weekends or holidays.  Fields with the asterisk (*) are required.  If you have any question regarding signing up for new service, please contact us during normal business hours 413-536-1050.  

SHELD requires the following to start service in your name:

  • Completed and Signed Authorization Form
  • Positive ID
  • Deposit

    • As part of our application process, SHELD requires all applicants to provide their social security number.  In 2010 Congress made it mandatory for the Utility, as a “creditor”, to require this information in an effort to avert identity theft.  Online Utility Exchange (OUE) is used to validate customer’s social security number as a part of compliance with the Red Flag Rules required by the Federal Trade Commission.  SHELD uses OUE to perform a “soft credit check” comparing the customer name and social security number that does not affect your credit score.  

*Residential Renters: please note, in addition to reading the above deposit policy, you will be required to come into the office to pay the deposit.

*Business Applicants: please note, in addition to reading the above deposit policy, most business accounts are required to pay a deposit.  You will be required to come into the office to pay the deposit.


Today's Date:  
Date Service is Desired:  *  
Type of Request:   *
First Name:   *
Last Name:   *
Middle Initial:  
Social Security #:-  -   *
License State:  
Birth Date:  *  
Employer:  

Mailing Address:
Please provide the address where bills should be sent:
Street Address/P.O. Box:  *
City:  *
State:  *
Zip Code:   *

Service Address:
Please provide the physical address where service is required:
Service Address:   *
Comments:  
E-mail:  *
Confirm E-mail:  *
Home Phone:
*If cell phone is your primary number, please enter here		-  -    *
Cell Phone:-  -   
Work Phone:-  -     
Please review the information regarding residential deposits or commercial deposits to understand SHELD policies. .

Prior Service Information:
Have you ever had service with us before?

    
Account Number:


or Prior Service Address:  
Do you own or rent the service location?   *
 
By clicking this box, I certify I have read and agree to the Standard Terms and Conditions for Electric Service and Rates.  I have also read and understand the Deposit Policy.
I understand that checking this box and typing my name in the field provided below is my electronic signature. 
  Applicant Name:     *