Littleton Electric Light and Water Departments 
  New Service Application

  Page 1 of 2  (Print and Mail or Fax)

We are happy to process your application for service. If your home already has an electric meter or existing water service, please fill out the form below at least two working days prior to needing service. Unfortunately, we are not able to process applications online where there is no existing meter or water hook-up. Please call the office at (978) 486-3104 and our staff will be ready to assist you in getting your service set up.

All fields in the application must be completed in order for us to process your request. Be assured that any information you provide herein is considered confidential and is not shared, transferred or sold to any company, organization or entity outside of LELWD.

Request for Electric Service (Boxborough, Littleton)
Request for Water Service (Littleton only)
Please check both boxes if you need to apply for both electric and water service.

Today's Date

Telephone # (including Area Code)
- -
First Name:
Last Name:

Service Location: (Street, Apt. #)
Service Location: (Town)

Mail Address:
Mail Address: (Town or City/State/Zip)

Email Address:
Social Security #:
- -
Owner's First Name:
Owner's Last Name:

Owner's Address: (Street)
Owner's Address: (Town or City/State/Zip)

Owner's Telephone #: (including Area Code) - -


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