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Member Forms

Firelands Electric is a member-owned electric cooperative. Anyone requesting electric service must have a valid membership application completed that is signed and returned to the cooperative office, with any required security deposit, before service can be connected. The forms below can be completed and printed from your computer. Contact us for assistance by calling 1-800-533-8658. Completed forms can be submitted electronically by clicking here.

NEW ELECTRIC SERVICE CHANGE EXISTING SERVICE
Below are forms used for establishing electric service. Below are several forms used for various programs and services.
Application for Membership/Reconnect [PDF] Active Duty Deployment Certification Form [PDF]
Easement & Right-of-Way Agreement [PDF] Continuous Service Authorization Form [PDF]​
New Service Procedures [PDF] Life-Support System Certification Form [PDF]
Outdoor Lighting Contract [PDF] Name Change Request Form [PDF]
Service Entrance Diagrams & Requirements  
   
MEMBER PROGRAMS & REBATES  
Please click here for eligibility and specific rebate requirements.  
Appliance Rebate Form [PDF]  
C&I Lighting Rebate Form [PDF]  
Weatherization Rebate Form [PDF]   

 

 

 

 

 

 

 

 

 

 

 

 

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