Forms, Contracts, and Applications

Electric Service and Billing Forms

• Electric Service Application

• Stop or Transfer Electric Service Request

• Budget Billing Inquiry

• Direct Payment Enrollment

• ACH Recurring Payment Authorization form

Contractor Forms and Agreements

• Contractor Agreement for Non-line Work Services or Labor Provided to Co-op (OE-0025 12-01-10)

• Hold Harmless & Contract for Services Agreement (OE-0011 12-01-10)

• Trenching Sharing Agreement (OE-0021 12-01-10)

Member Programs

• FORE Contribution - details and form

• Helping Hand Reminder - details and form

• Notify Owner Before Disconnect - details and form

• Power Boost Gift Certificate

• RECare

• Support Iowa Renewable Energy - printable or fill online

Service Request Forms and Agreements

• Aid to Construction Agreement (OE-0005 12-01-10)

• Anchor Installation Agreement on Co-op Equipment (OE-0007 12-01-10)

• Interconnection Level 1 Request Application and Agreement (OE-0023d 7-26-22)

• Interconnection Levels 2 to 4 Request Application (OE-0023b 1-8-24)

• Interconnection Levels 2 to 4 Agreement (OE-0023a 10-27-17)

• Interconnection Certificate of Completion (OE-0023c 10-27-17)

• Equipment or Structure Moving Agreement (OE-0010 12-01-10)

• Grain Bin Agreement (OE-0004  12-01-10)

  • Bin Heights Loading/Non-Loading Side

• Large Service Time of Day Agreement (OE-0013 12-01-10)

• Line Relocation Agreement (OE-0014 12-01-10)

• Locate Member Agreement (OE-0008 12-01-10)

• Pole Contract (OE-0015 12-01-10)

• Purchase Power Agreement (OE-0016 12-01-10)

• Facility, New & Facility Extension Request (OE-0027 5-12-25)

• Facility Extension Agreement (OE-0017  4-01-15)

• Facility Extension Agreement - Platted Areas (OE-0018 11-6-17)

• Staking and/or ECI REC Employee Release of Responsibility (OE-0019 12-01-10)

• Temporary Service Agreement (OE-0020 12-01-10)

• Three-Phase Application (OE-0003 10-20-16)

• Tree Permit (OE-0002 12-01-10)

Youth Forms

• 2025 Scholarship Application (CS-0033)

• 2025 Youth Tour Application/Parent Permission Form (CS-0032)

• 2025 Youth Tour Essay Questions (CS-0031)

Form Submission: “Submit by Email” button on forms may not work with all browsers or email programs. Alternate methods of submission:

• Fill out form on your computer, then print and mail to 2400 Bing Miller Lane, PO Box 248, Urbana, IA 52345.

• Save form to a folder on your computer, attach to an email using your preferred email program, and email to memberservices@ecirec.coop.