Request Enrollment

Important note: This form may be used only by residential and commercial customers. Industrial customers should contact customer support for information about participating in the program.

Please include the information requested as it appears on your electric utility bill. Be sure to use the name on the account and the account service address when completing the form.

Please note that enrollment requests must be accepted by the utility before they are active. Also, it may take up to two billing cycles for the change to appear on your bill, as changes can only be made at the start of a billing cycle.

Combined Form 2024 v2 (July)

I would like to

Name as it appears on your electric utility bill

Program option

Utility name

Eversource account number

Please enter 11-digit account number with no spaces, dashes, letters, or other characters.

National Grid account number

Please enter 10-digit account number with no spaces, dashes, letters, or other characters.

Customer name key

Your name key is listed on your National Grid bill, but it is not labelled. To find it, 1) look in the blue left column of your bill, 2) locate the Enrollment Information section, and 3) find the word "Cycle." Your name key is listed after your cycle number in capital letters. Your name key is typically the first 4 letters of the last name on a residential account, or the first 4 characters, including spaces, of the name on a commercial account. Find your name key

Your name key can be found on the second page of your Eversource bill, directly beneath your account number. Your name key is typically the first 4 letters of the last name on a residential account, or the first 4 characters, including spaces, of the name on a commercial account. Find your name key

Service Reference number

Can be found on the second page of your Eversource electric bill, just below the blue and green box that contains your service address.

Find your Service Reference number

Account type

Residential

Small Commercial

Medium and large commercial or industrial customers interested in enrolling should contact customer support to verify account eligibility.

Account service address

City/Town

State

ZIP code

How did you learn about the program?

Spoke with

Email address

Please include an email address to receive a receipt of this request for your records.

Phone number

Please include the phone number we should use if we need to contact you about this request.

If you are human, leave this field blank.