Request New Service

If you would like a new service built, the first step is to submit a completed and signed request for new service form.  Completed forms may be sent via fax, e-mail or mail and Ninnescah will follow up with you to begin the next steps in the process.  To send the form via e-mail, please use the Contact Us page.

If you have any questions, please always feel free to contact our office during normal business hours.


Request for New Service Form, Fillable Word Document – fill out this form electronically using Microsoft Word

  • Be sure to sign the completed form before submitting to Ninnescah

Request for New Service Form, PDF – print this document and fill it out by hand