Residential New Electrical Service Request | Rural Electric Cooperative

To obtain electrical service please fill out the form below. Residential members may be subject to an up-front $400 deposit and a $5 membership fee. This information requested below is of a confidential nature. Rural Electric Cooperative will use this information to assist in determining the security deposit to be paid for collection purposes. Any false information may result in the termination of your service. Please complete the form.

For additional information or assistance please contact REC at 800-259-3504 or 405-756-3104.

Residential New Service Request

Legal Description and Driving Directions for New Service

What will this service be for?

Example: House, Water Well, Shop, Trailer, Barn, etc.

Meter Number

The 8 or 9 digit meter number (not the reading or the silver tag)

Date of Service Desired

(must by Monday through Friday not more than two weeks in advance. Please allow up to 72 hours for processing.)

Applicant Information

First

Middle

Last

Billing Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Date of Birth

Drivers License

One file only.
50 MB limit.
Allowed types: gif, jpg, png, .

Cell Phone Number

Home Phone Number

Business Phone Number

Email Address

Current Employer

Have you ever been a member of this cooperative?

Yes

If yes, what years?

Is the Residence/Property Owned or Rented? *

Owned

Rented

If rented, name and address of your landlord

If handicapped or disabled, would the loss of electricity endanger your life?

Yes

Former Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Former Utility

Joint Applicant Information (Spouse Only)

First

Middle

Last

Joint Applicant Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Joint Applicant Date of Birth

Joint Applicant Cell Phone Number

Joint Applicant Home Phone Number

Joint Applicant Business Number

Joint Applicant Email Address

Joint Applicant Current Employer

Emergency Contact Name

Friend/Relative's Phone Number

Friend/Relative's Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Do you want to participate in Operation Round-Up?

Yes

Please Confirm

I have read and agree to the Terms and Conditions of Rural Electric Cooperative in Lindsay, Oklahoma. By submitting this application request, I grant permission for Rural Electric Cooperative, to obtain a credit report (if necessary) at no cost to the applicant(s). I/We understand if such credit report indicates, an additional security deposit may be required of the applicant(s). I/We agree, in order for Rural Electric Cooperative, our agents or contractors to service your account or to collect any amount you may owe, we may contact you by telephone which includes any telephone number associated with your account, wireless messages or emails, using any email address associated with your account. Methods of contact may include using pre-recorded or artificial voice messages and/or the use of an automatic dialing as applicable.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.