Carson City:
1150 E. William Street
Carson City, NV 89701-3109
(775) 684-6101
Fax (775) 684-6110 		Las Vegas:
101 Convention Center Drive, Suite 250
Las Vegas, NV 89109
(702) 486-2600
Fax (702) 486-7206

Universal Energy Charge Form
This form is applicable to (a) quarterly payments and (b) prepayments by retail customers pursuant to NAC 702.370.
Company Name:  
Company Address:  
City, State Zip:  
Telephone:  
UEC Payer Type:
Select Payment Type:  
Quarterly payment for the the quarter ending: Year:    
   
Preparer Name:    
Preparer Title:    
Preparer Employer:  
Preparer Employer Address:    
Preparer Business Telephone:    
Payment Amount:    
 
Confirmation Email: