Skip to main navigation.

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.

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  
Understanding Your Monthly Bill [PDF]  
Please click here for eligibility and specific rebate requirements.  
Appliance Rebate Form [PDF]  
Weatherization Rebate Form [PDF]   
C&I Lighting Rebate Form [PDF] (10/22/18: The annual budget allotted for Commercial & Industrial rebates has now been distributed to members. The co-op will not be accepting applications for these rebates for the remainder of the year. Please check back later for updates on next year's program.)  













Powered by Touchstone Energy Cooperatives Logo