New Fiber Drop Application

FORM - New Drop Application

Before Reedsburg Utility can begin underground construction, we require the property owner to supply a map showing relative locations of all private facilities and equipment in potential construction paths. Items such as; sprinkler systems, sewer or water lines, existing telecom lines, underground electrical wiring, lawn lighting, propane lines, underground dog fencing or any other power lines beyond your meter.

I agree to supply a map to clearly identify all private facilities prior to the start of construction activities. I understand that failure to supply this could result in damage to those facilities.

I accept the above statement to be true.

I understand that in the event of any damages to facilities that I did not indicate, Reedsburg Utility or it's contractor is not responsible and I agree to hold them harmless for any damage.

I accept the above statement to be true.

I understand that a 120V outlet is required for the electronics and for service to be supplied.

I accept the above statement to be true.

Date

Property Owner Name *

Property Owner Address *

City, State and Zip *

Property Owner Phone

The undersigned has requested and hereby authorizes the installation of a fiber service line and equipment by Reedsburg Utility (RUC) / LightSpeed on the property for future service connection at the below address.

Requested Site Address (Customer) *

Customer Name *

Customer Email *

Customer Phone *

Signature

Clear

Total Service Drop Fee: $100.00 (if received by March 30, 2023) *

Credit Card (Please note: RUC LightSpeed will need to set up your account to apply a credit card payment. If you choose this option you will be contacted by an Account Representative within 7 business days to apply your credit card payment)

Check (Mail to: PO Box 230, Reedsburg, WI 53959)

Please Note: A standard service drop includes vibratory plowing the service line from the road right-of-way to the customer premise. Fiber service drop does not include private service extensions. RUC/LightSpeed or our contractor will contact Digger's Hotline prior to excavating on the premise. Through Digger's Hotline, all public supply lines will be marked from the right-of-way to the home or business. Any private utilities such as water, sewer, irrigation, utilities to buildings, LP gas, water wells, septic lines, and LP lines will not be marked. RUC and our contractors are not responsible for damage to private utilities that have not been brought to our crew's attention prior to the start of work. Turf restoration will only be completed on excavated turf areas in the right-of-way and not along the plow line or in the customers property. Turf restoration will only include a rough backfill of material. Standard installation fees may apply, additional fees may apply for non-standard installations.

Underground construction cannot begin until this form is signed and returned to Reedsburg Utility (RUC) along with payment and a map of private utilities. Please call 608-768-1000 with any questions you have regarding the application.

Upload detailed sketch of your property here: (Please provide a detailed sketch of private underground facilities on your property such as: lawn sprinkler system, septic, well, gas, water, electric, and telephone lines, etc. )

Maximum upload size: 33.55MB

Although an upload of your sketch is preferred, as an alternate option you can email your sketch to: lightspeed@rucls.net. If choosing this option, please include your name and service address in your email.

Comments regarding your private utilities, hazards, or the service drop installation:

I accept and agree to the following terms:

Electronic Signature

Clear