Telecommunications Requests

The completion of this form will provide PJM with the information necessary to configure and install the required voice and data communications necessary for you, our new customer, to communicate with PJM. PJM will assume total responsibility for the coordination efforts required to acquire and implement the appropriate telecommunications circuits.


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Customer Contact Information


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Customer Utilizing Connection
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Customer Business Contact
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Customer Technical Representative
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Site Information


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Download PDF

Download PDF


Download PDF



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Site Circuit Information


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Site Location information
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Site Point of Contact
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Site Access
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For the purpose of remote router support analog phone lines need to be installed for each router

Site Circuit Termination Design
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Customer Network Information




Firewall Administrator



List what device (RTU, Meter, FEP, etc.) or device type (DNP, ICCP), communications protocol, and IP address will be monitored.

Confirmation