Start Service To start new service at an existing, metered location complete the following application for residential service. Residential Service Application Date Service is Desired (mm/dd/yyyy)(Required) Month Day Year Membership Type(Required) Individual Joint Applicant Name(Required) First Last Social Security Number (SSN)(Required) Second Applicant(Required) First Last SSN(Required) Authorized UserAuthorized users can make payments, arrangements, and access account information. They cannot change an account and will not accrue capital credits like an applicant would. First Last Mailing Address(Required)Where bills should be sent. Mailing Address / PO Box Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Service Address(Required)Physical address where service is located. This cannot be a post office box. Same as previous Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email(Required) Primary Phone(Required)Cell PhoneWork PhoneBilling Type(Required) Standard (subject to $300 deposit) Pay As You Go (No deposit, $20 credit to begin) Renting?(Required) Yes No Property Owner(Required) Property Owner Phone(Required)Would you like to enroll in Operation Round Up to have your bill be rounded up for charity?(Required) Yes No Applicant Consent(Required) Terms of Application - Residential As consideration for acceptance of this application by Tri-County Electric Cooperative (TCEC), hereinafter “Cooperative,” Applicant promises and covenants as follows: Applicant agrees to comply with and be bound by the Articles of Incorporation, Bylaws and Rules and Regulations of the Cooperative. Applicant agrees to pay any security deposit, service initiation fee, service connection deposit or fee, facilities extension deposit and/or contribution in aid of construction required by Cooperative. Applicant agrees to pay any outstanding account for prior service plus accrued interest prior to being connected. Applicant warrants that all facilities at locations where service is provided are in compliance with the requirements of the National Electrical Safety Code. Applicant agrees that Cooperative may discontinue service if a violation of the National Electrical Code is discovered. Once discontinued, service will not be resumed until any and all violations are corrected. Applicant acknowledges the bill is due upon receipt and a 1.5% late fee will be added when account becomes delinquent. Applicant agrees that the Cooperative may cease to provide service if Applicant fails to make timely payment for services. Applicant agrees, upon request of Cooperative, to grant Cooperative such easements and rights-of-ways on, over, across, and under lands owned by or leased by or to, or mortgaged to Applicant as are needed for the furnishing of electrical service or for the construction, operation, and/or maintenance of TCEC’s electric facilities upon fair and equitable terms as determined under state and federal law. Applicant hereby agrees that up to $5.00 of the amount paid for electricity each year is for a subscription to Oklahoma Living magazine, a monthly publication for the members of Oklahoma’s Rural Electric Cooperatives. This charge is to apply to the membership account only. Applicant agrees the cooperative may contact them via cellular phone or text message regarding power disruptions, notification of disconnections for non-payment, or for other informational or educational purposes. Message and data rates from Applicant’s cellular phone provider may apply. Pay As you Go Agreement Applicant agrees a credit of $20.00 shall be required to begin Pay As You Go service. Agrees a minimum $20.00 credit balance is required to reconnect service if disconnected due to zero balance. Authorizes Cooperative to transfer any outstanding balance on the Member’s account to the Debt Management. 25% of all payments will go towards the Debt Management balance, until paid in full. Acknowledges payments can be made by SmartHub, telephone (IVR), payment kiosk, or from 8:00am to 5:00pm at the TCEC office. Acknowledges that Member must remain on the Pay As You Go service until the Debt Management balance is paid in full ($0.00 balance) and further acknowledges that a credit check shall be required and he/she/it will be required to pay all applicable fees and security deposits before returning to regular monthly billing. Acknowledges that Member will not be mailed a monthly statement of electric use or other applicable fees or charges. Acknowledges that service is subject to disconnection on weekends, holidays, or after normal business hours and further acknowledges the Weather Rule does not apply to this service. Acknowledges that Member shall be solely responsible for regularly monitoring the dollar balance and usage on the Pay As You Go account and understands that the electric service will be subject to disconnection without any notification from Cooperative to Member once the balance of the account reaches zero ($0.00). Acknowledges that Member Pay As You Go account(s) shall not be eligible for payment arrangements and any energy assistance will not be applied to a Pay As you Go account until received by the Cooperative. Applicant agrees to receive alerts (via text and/or email) and web presentment regarding Pay As You Go account(s). View the TCEC bylaws, tariffs and rules and regulations on our website. Please read carefully: I have read and agree to the application terms, the cooperative's bylaws, tariffs and the rules and regulations of service. TCEC is a member-owned utility and acceptance of this application request, I the applicant(s), will become a TCEC member. I hereby verify the information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me and this electronic signature shall act and serve as my original signature.Applicant Electronic Signature (Full Name)(Required) Joint Applicant Electronic Signature (Full Name)(Required) CommentsThis field is for validation purposes and should be left unchanged.