Residential Account Application

Complete the following fields below to apply for electric services.

Type of Service(Required)

Applicant Name(Required)

First Last

Social Security Number(Required)

Applicant's Place of Employment(Required)

Email(Required)

Phone(Required)

Do you have a co-applicant?(Required)

Yes

Co-Applicant's Name(Required)

First Last

Co-Applicant's Social Security Number(Required)

Own or Rent(Required)

Own

Rent

If renting - Landlord's Name?

Previous Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

New Service Address(Required)

Same as previous

Street Address Address Line 2 City State ZIP Code

Please choose one of the following and explain so we can identify your service location:(Required)

Explain

Date Service Requested (mm/dd/yyyy)(Required)

Include a copy of a photo ID for the person responsible for this account(Required)

Max. file size: 170 MB.

Member Electronic Signature (Full Name)(Required)

Please select an identity question(Required)

Please answer the security question(Required)

CAPTCHA

Comments

This field is for validation purposes and should be left unchanged.

Residential Account Application

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Login & Pay Your Bill

Go to My Account

Login & Pay Your Bill

Go to My Account

Residential Account Application

Call

Email

Visit

Mail

Follow

Quick Links

Resources

Legal Links