Electric Standard Customer Forms
Standard forms including applications, agreements and contracts for electric service, electric line extensions, pole license, conduit license, pumping street lighting and for physician’s certification for medically necessary life support device.
| Form No. | Description | Effective Date |
| 0061 | AGREEMENT FOR ELECTRIC LOAD OR FACILITIES OF UNCERTAIN DURATION | 09/2019 |
| 0093 | COMPUTATION OF ELECTRIC DISTRIBUTION SYSTEM LINE EXTENSION DEPOSIT AND CONTRIBUTIONS (GENERAL SERVICE) | 01/2021 |
| 0094 | COMPUTATION OF ELECTRIC DISTRIBUTION SYSTEM LINE EXTENSION DEPOSIT AND CONTRIBUTIONS (RESIDENTIAL) | 01/2022 |
| 0095 | COMPUTATION OF ELECTRIC DISTRIBUTION SYSTEM LINE EXTENSION DEPOSIT AND CONTRIBUTIONS (RESIDENTIAL EXCEEDING 2,640 FEET) | 01/2022 |
| 0160 | NON-TARIFF POLE LICENSE AGREEMENT | 03/2019 |
| 0161 | POLE LICENSE AGREEMENT - NON-CABLE COMMUNICATIONS EQUIPMENT | 09/2022 |
| 0230 | AGREEMENT FOR MODIFICATIONS OF ELECTRIC FACILITIES | 01/2023 |
| 0235 | BUILDING MOVE AGREEMENT | 01/2017 |
| 0236 | PRECONSTRUCTION COST ESTIMATE LETTER | 07/2017 |
| 0406 | CONTRACT FOR ELECTRIC SERVICE MULTIPLE SITES ATTACHMENT | 12/2017 |
| 0407 | ELECTRIC SERVICE PROVISION AGREEMENT ATTACHMENT | 12/2017 |
| 0408 | ADDENDUM TO CONTRACT FOR DISTRIBUTION OF RETAIL OPEN ACCESS PRIMARY (ROA-P) OR SECONDARY (ROA-S) ELECTRIC DISTRIBUTION SERVICE RESALE TO TENANTS | 02/2017 |
| 0410 | CONTRACT FOR ELECTRIC SERVICE MULTIPLE SITES | 03/2020 |
| 0415 | CONTRACT FOR DISTRIBUTION OF RETAIL OPEN ACCESS PRIMARY (ROA-P) ELECTRIC SERVICE | 12/2017 |
| 0416 | CONTRACT FOR ELECTRIC SERVICE | 04/2021 |
| 0427 | CONTRACT FOR DISTRIBUTION OF RETAIL OPEN ACCESS SECONDARY (ROA-S) ELECTRIC SERVICE | 12/2017 |
| 0493 | ENVIRONMENTAL CONTAMINATION LETTER | 06/2016 |
| 0497 | CONTRACT FOR ELECTRIC SERVICE - INTERRUPTIBLE PROVISION | 03/2022 |
| 0500 | STANDBY SERVICE NOMINATIONS APPLICABLE FOR RATE SCHEDULES GSG AND GPD (PROVISION GMI) | 03/2020 |
| 0547 | AUTHORIZATION FOR CHANGE IN STANDARD LIGHTING CONTRACT | 11/2014 |
| 0548 | STANDARD LIGHTING CONTRACT (COMPANY OWNED) | 05/2014 |
| 0559 | STANDARD LIGHTING CONTRACT (CUSTOMER OWNED) | 05/2014 |
| 0599 | AUTHORIZATION FOR CHANGE IN STANDARD LIGHTING CONTRACT (CUSTOMER-OWNED) | 05/2014 |
| 0573 | DISCONNECT/RECONNECT LIGHTING FOR ENERGY CONSERVATION PURPOSES | 07/2019 |
| 0614 | CONTRACT FOR ELECTRIC SERVICE FOR OPERATION OF PRIVATE STREET OR ROADWAY LIGHTING IN MOBILE HOME PARK | 12/2017 |
| 0615 | AGREEMENT FOR UNMETERED LIGHTING SERVICE | 08/2021 |
| 0640 | CONTRACT FOR ELECTRIC SERVICE - CATV | 10/2019 |
| 0641 | CONTRACT FOR ELECTRIC SERVICE - CATV (SUPPLEMENTAL AGREEMENT) | 11/2000 |
| 0645 | POLE LICENSE AGREEMENT | 05/2020 |
| 0648 | CENTRAL POINT DISTRIBUTION FACILITIES FOR FARM CUSTOMERS | 09/2011 |
| 0650 | CENTRAL POINT DISTRIBUTION POLE LICENSE AGREEMENT | 12/2016 |
| 0675 | POLE ATTACHMENT AGREEMENT - NON-CABLE COMMUNICATIONS EQUIPMENT | 09/2011 |
| 0694 | WOOD PERMIT | 09/2020 |
| 0749 | GREEN GENERATION PARTICIPATION AGREEMENT - GREEN GENERATION PROGRAM - ALL OPTIONS |
01/2019 |
| 0861 | AGREEMENT FOR INSTALLATION OF ELECTRIC FACILITIES (REFUNDABLE) | 01/2023 |
| 0862 | AGREEMENT FOR INSTALLATION OF ELECTRIC FACILITIES FOR MOBILE HOME PARKS (REFUNDABLE) | 01/2023 |
| 0916 | CONTRACT FOR ELECTRIC SERVICE SPECIAL MINIMUM CHARGES | 12/2017 |
| 0917 | CONTRACT FOR ELECTRIC SERVICE RESALE TO TENANTS | 12/2016 |
| 1200 | GENERATOR INTERCONNECTION & OPERATING AGREEMENT FOR CATEGORY 3-5 PROJECTS WITH AGGREGATE GENERATOR OUTPUT OF GREATER THAN 150 kW | 06/2010 |
| 1207 | NET METERING APPLICATION - CATEGORY 2 - FOR ALL PROJECTS WITH AGGREGATE GENERATOR OUTPUT OF MORE THAN 20 kW BUT LESS THAN OR EQUAL TO 150 kW | 04/2013 |
| 1208 | GENERATOR INTERCONNECTION APPLICATION - CATEGORY 2 (COMBINED) - FOR ALL PROJECTS WITH AGGREGATE GENERATOR OUTPUT OF MORE THAN 20 kW BUT LESS THAN OR EQUAL TO 150 kW | 04/2013 |
| 1209 | GENERATOR INTERCONNECTION APPLICATION - CATEGORY 2 - FOR ALL PROJECTS WITH AGGREGATE GENERATOR OUTPUT OF MORE THAN 20 kW BUT LESS THAN OR EQUAL TO 150 kW | 04/2013 |
| 1213 | NET METERING APPLICATION - CATEGORY 3 - FOR ALL PROJECTS WITH AGGREGATE GENERATOR OUTPUT OF MORE THAN 150 kW BUT LESS THAN OR EQUAL TO 550 kW | 09/2012 |
| 1214 | GENERATOR INTERCONNECTION APPLICATION - CATEGORY 3 (COMBINED) - FOR ALL PROJECTS WITH AGGREGATE GENERATOR OUTPUT OF MORE THAN 150 KW BUT LESS THAN OR EQUAL TO 550 KW |
09/2012 |
| 1215 | GENERATOR INTERCONNECTION APPLICATION - CATEGORY 3 - FOR ALL PROJECTS WITH AGGREGATE GENERATOR OUTPUT OF MORE THAN 150 kW BUT LESS THAN OR EQUAL TO 550 kW | 09/2012 |
| 1216 | INTERCONNECTION AND PARALLEL OPERATING AGREEMENT FOR CATEGORY 1 AND CATEGORY 2 PROJECTS (PROJECTS UP TO 150 kW) | 06/2013 |
| 1217 | NET METERING APPLICATION - FOR PROJECTS WITH AGGREGATE GENERATOR OUTPUT 20 kW OR LESS | 04/2013 |
| 1218 | GENERATOR INTERCONNECTION APPLICATION - FOR PROJECTS WITH AGGREGATE GENERATOR OUTPUT 20 kW OR LESS | 04/2013 |
| 1219 | GENERATOR INTERCONNECTION APPLICATION - CATEGORY 1 - FOR ALL INVERTER-BASED PROJECTS WITH AGGREGATE GENERATOR OUTPUT 20 kW OR LESS | 04/2013 |
| 1220 | GENERATOR INTERCONNECTION APPLICATION - CATEGORY 4 - FOR ALL PROJECTS WITH AGGREGATE GENERATOR OUTPUT OF MORE THAN 550 kW BUT LESS THAN OR EQUAL TO 2 MW | 07/2017 |
| 1221 | GENERATOR INTERCONNECTION APPLICATION - CATEGORY 5 - FOR ALL PROJECTS WITH AGGREGATE GENERATOR OUTPUT OF MORE THAN 2 MW | 07/2017 |
| 1250 | GO-READY CHECKLIST NATURAL GAS & ELECTRIC REQUEST | 05/2024 |
| 1278 | AGREEMENT OF CONFIDENTIALITY | 11/2010 |
| 1287 | SPECIAL CONDUIT USE AGREEMENT | 09/2004 |
| 1394 | THIRD PARTY NOTIFICATION | 10/2020 |
| 1422 | ENERGY EFFICIENCY PROGRAM (GSG-2) "OPT-IN" REQUEST | 07/2012 |
| 1426 | ENERGY EFFICIENCY PROGRAM (GML) "OPT-IN" REQUEST | 08/2014 |
| 1427 | ENERGY EFFICIENCY PROGRAM (GUL AND GU-XL) "OPT-IN" REQUEST | 08/2014 |
| 1497 | CONTRACT FOR ELECTRIC SERVICE - INTERRUPTIBLE PROVISION ATTACHMENT |
01/2018 |
| 1498 |
CONTRACT FOR ELECTRIC SERVICE GI PROVISION |
06/2023 |
| 1502 | RESOLUTION | 01/2018 |
| 1509 | RESOLUTION ADOPTED BY SCHOOL BOARD AUTHORIZING AND DIRECTING THE PRESIDENT OF THE BOARD OF EDUCATION TO EXECUTE A CONTRACT ON BEHALF OF THE SCHOOL DISTRICT | 08/2017 |
| 1510 | ASSIGNMENT OF CONTRACT FOR ELECTRIC SERVICE | 01/2018 |
| 1514 | DEVELOPER REQUEST FOR WAIVER OF REQUIREMENT FOR SEPARATE METERS IN RESIDENTIAL HOUSING UNITS | 12/2017 |
| 1539 | VOLUNTARY LARGE CUSTOMER RENEWABLE ENERGY PILOT PROGRAM FORM | 05/2023 |
| 1567 | 2024 EMERGENCY COMMERCIAL AND INDUSTRIAL DEMAND RESPONSE CUSTOMER AGREEMENT | 06/2025 |
| 1569 | 2024 EMERGENCY WITH GENERATOR COMMERCIAL AND INDUSTRIAL DEMAND RESPONSE CUSTOMER AGREEMENT | 01/2024 |
| 1605 | GREEN GENERATION TERMS AND CONDITIONS | 01/2019 |
| 1619 (Printable) 1619 (Online) |
RELEASE OF CUSTOMER INFORMATION | 03/2019 |
| 1630 | WIRELESS EQUIPMENT APPROVAL | 02/2019 |
| 1660 | CONTRACT FOR ELECTRIC SERVICE - COMMUNICATIONS EQUIPMENT | 03/2019 |
| 1661 | CONTRACT FOR ELECTRIC SERVICE - COMMUNICATIONS EQUIPMENT SUPPLEMENTAL AGREEMENT | 03/2019 |
| 1664 | POWER SUPPLY REQUEST | 06/2019 |
| 1669 | CONTRACT FOR ELECTRIC SERVICE G12 INTERRUPTIBLE PROVISION ATTACHMENT | 03/2022 |
| 1673 | METERED WIRELESS ANTENNA REQUEST | 02/2019 |
| 1699 | BUSINESS CENTER RELEASE OF CUSTOMER INFORMATION | 01/2020 |
| 1754 | SOLAR GARDENS ENROLLMENT FORM | 02/2017 |
| 1812 | CONTRACT FOR GENERAL SERVICE SELF GENERATION GSG-2 (PRIMARY SERVICE) | 12/2017 |
| 1814 | CONTRACT FOR GENERAL SERVICE SELF GENERATION GSG-2 MISO INTERCONNECTIONS | 12/2017 |
| 1933 |
RESIDENTIAL INCOME ASSISTANCE CREDIT SELF ATTESTATION | 07/2021 |
| 1940 |
PREDICTABLE BILLING PILOT TERMS AND CONDITIONS
|
02/2021 |
| 2008 | SHUT OFF NOTICE | 08/2020 |
| 2104 | INTENT TO SHUT OFF | 08/2020 |
| 2330 | MEDICAL CERTIFICATION FORM | 12/2018 |
| 2333 | AMERICAN RED CROSS IDENTIFICATION PROGRAM ENROLLMENT/CERTIFICATION | 12/2018 |
| 2509 | ARRANGEMENT FOR PAYMENT OF MISCELLANEOUS SERVICE | 08/2015 |
| 2510 | DEFAULT NOTICE OF INSTALLMENT PLAN | 12/2018 |
| 2515 | SHUT-OFF NOTICE FOR NONPAYMENT- NON-RESIDENTIAL | 08/2020 |
| 2557 | NON-RESIDENTIAL AGREEMENT FOR SERVICE EXPERIMENTAL ADVANCED RENEWABLE PROGRAM | 01/2013 |
| 2558 | RESIDENTIAL AGREEMENT FOR SERVICE EXPERIMENTAL ADVANCED RENEWABLE PROGRAM | 01/2013 |
| 2588 | SHUT-OFF NOTICE FOR DEFAULT OF WINTER PROTECTION PLAN PAYMENT | 08/2020 |
| 2589 | SHUT-OFF NOTICE FOR DEFAULT OF SHUT-OFF PROTECTION PAYMENT | 08/2020 |
| 3700 | CONTRACT FOR ELECTRIC SERVICE FOR USE WITH ALLOWANCE FOR CONTRIBUTION IN AID OF CONSTRUCTION | 06/2021 |
| 3701 | CONTRACT FOR DISTRIBUTION OF RETAIL OPEN ACCESS PRIMARY (ROA-P) ELECTRIC SERVICE FOR USE WITH CONTRIBUTION IN AID OF CONSTRUCTION | 01/2021 |
| 3703 | AGREEMENT FOR RESIDENTIAL SMALL FARM - GENERAL SERVICE RATE GS | 05/2018 |
| 3803 | SHUTOFF NOTICE FOR NONPAYMENT | 08/2020 |
| 3807 | SETTLEMENT AGREEMENT | 08/2016 |
| 3808 | NON-ENERGY MISC BILL | 08/2016 |
| 3809 | NON-ENERGY PAST DUE NOTICE | 08/2016 |
| 3812 | UTILITY BILL | 12/2018 |
| 3830 | SALES TAX EXEMPTION CERTIFICATE | 05/2021 |
| 3964 |
CONTRACT FOR PARTICIPATION IN THE NATIONAL RENEWABLE ENERGY CREDIT PROGRAM | 10/2023 |
| 3965 |
APPLICATION FOR PARTICIPATION IN THE MICHIGAN RENEWABLE ENERGY CREDIT NEW PROGRAM | 11/2020 |
| 3966 |
APPLICATION FOR PARTICIPATION IN THE NATIONAL RENEWABLE ENERGY CREDIT PROGRAM | 11/2020 |
| 3967 |
APPLICATION FOR PARTICIPATION IN THE NATIONAL RENEWABLE ENERGY CREDIT NEW PROGRAM | 11/2020 |
| 3968 | APPLICATION FOR PARTICIPATION IN THE MICHIGAN RENEWABLE ENERGY CREDIT PROGRAM | 12/2020 |
| 3969 |
MICHIGAN RENEWABLE ENERGY CREDIT PROGRAM TERMS AND CONDITIONS | 12/2020 |
| 4005 | METERED POWER SUPPLY |
07/2023 |
| 4019 | EMERGENCY C&I DEMAND RESPONSE AMENDMENT |
04/2023 |
| 4040 | CONTRACT FOR GENERAL SERVICE INTERRUPTIBLE (GSI) PROVISION | 03/2024 |
| 4044 | CONTRACT FOR PARTICIPATION IN THE VOLUNTARY RENEWABLE ENERGY PROGRAM - MULTI FACILITY | 09/2024 |