Construction Form

PREMISE DETAILS (Location of the construction project. Please include subdivision name or lot number if available to site address.)

Site Address

City

State

Zip

Projected Date of Service

Electric Upgrade / Relocate

Will this impact the meter of service?

Existing meter location

Reason for relocation / upgrade

Stage

Select Panel Size

Select Phase

Voltage

Number of Wires

Existing Service Supply Type

New Service Supply Type

Existing Service Wire

Existing Type of Attachment

New Type of Attachment

Is the Service Bussed, In a Gangway or Less Than 3ft From a Window

Additional Load Being Added?

Detailed Load Available?

Standby Generator?

Gas Upgrade & Relocate

Gas Upgrade

Gas Relocate

Electric Install

Construction Type

Stage of Project

Structure Type

Is There Existing Electrical Service to Building?

Changes to Customer Equipment?

Service Supply Type

Select Panel Size

Select Phase

Voltage

Number of Wires

Is it an All Electric Property?

Detailed Load Info Available?

Standby Generator?

Gas Install

Construction Type

Is There Existing Gas Service to Building?

Changes to Customer Equipment?

Converting from Propane?

Requested Gas Meter Location?

Requested Delivery Pressure

Detailed Load Info Available?

Gas Heat?

Gas Water Heater Type

Structure Type

Type of Foundation

Is Foundation Backfilled?

Is Lot Within 6" of Grade

Private Underground Facilities?

Existing or Proposed Obstructions in Path of Service?

Customer installing conduit sleeve for service line from main to building?

Electric or Gas Development

Development Type?

Structure Type

Select Phase

Select Panel Size

Stage of Development

Planning and Zoning Approved?

Development Plat Recorded?

Do You Know the Anticipated Start Date of Paving?

Do You Know Anticipated Date for First Permanent Electric Svc

Does the Development Require Ameren Services to be relocated?

Does the Development Require Ameren to be removed?

Development Lighting Required?

Primary Source of Heating?

Temporary Electric Service - Install or Removal

Lighting - Installs, Removals and Upgrades & Relocates

Lighting Install?

Lighting Removal?

Lighting Upgrade/Relocate?

CONTACT PERSON (who we should contact if we have questions about the construction request. Typically, the company or professional contractor performing the work)

Name

Company

Company Address

City

State

Zip

Contact Phone

Email Address

Contact Type

Would you like for someone to contact you? (please allow 1-2 business days for an estimator/engineer to contact you.) Yes No

BILLING INFORMATION (typically the customer, if you are an electrician, general contractor, etc.)

Billing Name

Billing Address

City

State

Zip

DayTime Phone

Email Address

Last 4 of SSN or FEIN

Account#

Ameren Missouri Construction Request Form

PREMISE DETAILS (Location of the construction project. Please include subdivision name or lot number if available to site address.)

Electric Upgrade / Relocate

Gas Upgrade & Relocate

Electric Removal of Service

Gas Removal of Service

Electric Install

Gas Install

Electric or Gas Development

Temporary Electric Service - Install or Removal

Lighting - Installs, Removals and Upgrades & Relocates

CONTACT PERSON (who we should contact if we have questions about the construction request. Typically, the company or professional contractor performing the work)

BILLING INFORMATION (typically the customer, if you are an electrician, general contractor, etc.)