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Existing Location: Service Rebuild

Thank you for your inquiry. We are eager to assist you in getting started with your electric service rebuild. To get the process started, click on the links below and fill out the following forms:

  1. Information Sheet for Service Rebuild
  2. Right-of-Way Easement
    • Example of Right-of-Way Easement - Guide on how to properly complete an easement

      Special instructions for easements

      • The easement must be printed on white paper only.
      • The easement must be filled out using black ink.
      • The easement must be signed in the presence of a Notary Public
      • The original notarized easement must be returned to Polk Burnett Electric before construction of your new electric service begins.
  3. Optional Meter Pedestals

Once the forms are submitted, an engineering technician will contact you to assist with your plans. You will be able to fill out the forms online, but will need to print and sign the necessary forms before returning them to Polk-Burnett at either of our two locations:


Polk-Burnett Centuria office
1001 State Road 35
Centuria, WI 54824

Polk-Burnett Siren office
7298 State Road 70
PO Box 201
Siren WI 54872


Note Regarding New Construction:
Effective Jan. 1, 2005, a signed Uniform Dwelling Code (UDC) Certificate is required prior to permanent connection of electrical service for many types of construction. Where applicable, this replaces the affidavit previously required by Polk-Burnett. The Affidavit by Electrical Contractor  form continues to be required for other new service and rebuild projects. Contact your local building permit issuer, township clerk/chairman or your county zoning office for further information concerning the inspection process and to determining what type of certificate of electrical inspection is required.

For more information on how to install your electric service please see our guide:
Installing or Rebuilding Your Electric Service Guide  note: this is a large file!

If you have any further questions, please contact the operations department at 800-421-0283 or via email.


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