Refund Request

Please complete the form below to request your refund. Please note, your information must be submitted exactly as it appears on your ConEd bill. If you need help locating your information, a sample bill is located here.

"*" indicates required fields

Name on Account (Exactly As It Appears On Your ConEd Bill)*

First Last

Service Address (Exactly As It Appears On Your ConEd Bill)*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Utility Account Number (15 digits)*

Phone (If Contact Is Needed)*

Email (If Contact Is Needed)*

How Would You Like Your Refund?*

Check

eCheck (ACH)

Name of Bank*

Bank Routing Number*

Bank Account Number*

Payee Name*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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