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 07/2013
0081 REVENUE GUARANTEE AGREEMENT FOR LINE EXTENSION, SERVICE CONNECTION AND OTHER FACILITIES OF QUESTIONABLE PERMANENCE 07/2008
0093 COMPUTATION OF ELECTRIC DISTRIBUTION SYSTEM LINE EXTENSION DEPOSIT AND CONTRIBUTIONS (GENERAL SERVICE) 01/2017
0094 COMPUTATION OF ELECTRIC DISTRIBUTION SYSTEM LINE EXTENSION DEPOSIT AND CONTRIBUTIONS (RESIDENTIAL) 01/2017
0095 COMPUTATION OF ELECTRIC DISTRIBUTION SYSTEM LINE EXTENSION DEPOSIT AND CONTRIBUTIONS (RESIDENTIAL EXCEEDING 2,640 FEET) 01/2017
0160 NON-TARIFF POLE LICENSE AGREEMENT 07/2016
0161 POLE LICENSE AGREEMENT - NON-CABLE COMMUNICATIONS EQUIPMENT 05/2011
0162 INVENTORY OF EQUIPMENT INSTALLED FOR PRIMARY CUSTOMERS 11/2003
0230 AGREEMENT FOR MODIFICATIONS OF ELECTRIC FACILITIES (NONREFUNDABLE) 01/2017
0235 BUILDING MOVE AGREEMENT 01/2017
0402 ELECTRIC SERVICE PROVISION AGREEMENT 11/2016
0406 CONTRACT FOR ELECTRIC SERVICE MULTIPLE SITES ATTACHMENT 11/2016
0407 ELECTRIC SERVICE PROVISION AGREEMENT ATTACHMENT 11/2016
0408 ADDENDUM TO CONTRACT FOR DISTRIBUTION OF RETAIL OPEN ACCESS PRIMARY (ROA-P) OR SECONDARY (ROA-S) ELECTRIC DISTRIBUTION SERVICE RESALE TO TENANTS 05/2009
0410 CONTRACT FOR ELECTRIC SERVICE MULTIPLE SITES 11/2016
0415 CONTRACT FOR DISTRIBUTION OF RETAIL OPEN ACCESS PRIMARY (ROA-P) ELECTRIC SERVICE 12/2016
0416 CONTRACT FOR ELECTRIC SERVICE 12/2016
0427 CONTRACT FOR DISTRIBUTION OF RETAIL OPEN ACCESS SECONDARY (ROA-S) ELECTRIC SERVICE 12/2016
0493 ENVIRONMENTAL CONTAMINATION LETTER 06/2016
0497 CONTRACT FOR ELECTRIC SERVICE INTERRUPTIBLE AND MARKET INDEX PROVISIONS 12/2016
0500 STANDBY SERVICE NOMINATIONS APPLICABLE FOR RATE SCHEDULES GSG AND GPD (PROVISION GMI) 06/2013
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) 11/2014
0573 DISCONNECT/RECONNECT LIGHTING FOR ENERGY CONSERVATION PURPOSES 05/2012
0614 CONTRACT FOR ELECTRIC SERVICE FOR OPERATION OF PRIVATE STREET OR ROADWAY LIGHTING IN MOBILE HOME PARK 12/2016
0615 AGREEMENT FOR UNMETERED LIGHTING SERVICE 04/2004
0640 CONTRACT FOR ELECTRIC SERVICE - CATV 04/2001
0641 CONTRACT FOR ELECTRIC SERVICE - CATV (SUPPLEMENTAL AGREEMENT) 11/2000
0645 POLE LICENSE AGREEMENT 06/2008
0648 CENTRAL POINT DISTRIBUTION FACILITIES FOR FARM CUSTOMERS 09/2011
0650 CENTRAL POINT DISTRIBUTION POLE LICENSE AGREEMENT 12/2016
0663 POLE ATTACHMENT AGREEMENT 12/2011
0675 POLE ATTACHMENT AGREEMENT - NON-CABLE COMMUNICATIONS EQUIPMENT 09/2011
0678 ENERGY THEFT ACKNOWLEDGMENT 06/2016
0679 SHUT-OFF NOTICE FOR UNAUTHORIZED USE 06/2016
0692 STREET LIGHT CONVERSION PROGRAM APPLICATION 01/2011
0742 GREEN GENERATION – WEB ENROLLMENT 06/2016
0746 GREEN GENERATION ENROLLMENT FORM 10/2016
0748 GREEN GENERATION ENROLLMENT FORM - GREEN TEAM 10/2016
0749 GREEN GENERATION PARTICIPATION AGREEMENT - GREEN GENERATION PROGRAM (100 BLOCKS - 15,000 kWh OR GREATER) 05/2016
0750 GREEN GENERATION PARTICIPATION AGREEMENT - GREEN GENERATION PROGRAM (EQUAL TO OR GREATER THAN 8,000 BLOCKS) 10/2016
0758 GREEN GENERATION ENROLLMENT FORM 04/2016
0861 AGREEMENT FOR INSTALLATION OF ELECTRIC FACILITIES (REFUNDABLE) 01/2017
0862 AGREEMENT FOR INSTALLATION OF ELECTRIC FACILITIES FOR MOBILE HOME PARKS (REFUNDABLE) 01/2017
0916 CONTRACT FOR ELECTRIC SERVICE SPECIAL MINIMUM CHARGES 12/2016
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
1204 CUSTOMER ENROLLMENT EDUCATION INSTITUTION SERVICE PROVISION (GEI) 07/2008
1205 CUSTOMER ENROLLMENT AGGREGATE PEAK DEMAND SERVICE PROVISION (GAP) 07/2008
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 - 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 09/2012
1221 GENERATOR INTERCONNECTION APPLICATION - CATEGORY 5 - FOR ALL PROJECTS WITH AGGREGATE GENERATOR OUTPUT OF MORE THAN 2 MW 09/2012
1247 APPLICATION FOR RESIDENTIAL SERVICE - CONSTRUCTION REQUEST 12/2016
1250 GO-READY CHECKLIST NATURAL GAS & ELECTRIC REQUEST 08/2013
1258 CUSTOMER SCOPING DOCUMENT 06/2016
1261 GO-READY CHECKLIST AGRICULTURAL SERVICES 10/2013
1278 AGREEMENT OF CONFIDENTIALITY 11/2010
1287 SPECIAL CONDUIT USE AGREEMENT 09/2004
1339 CERTIFICATE OF MEDICAL EMERGENCY 02/2015
1394 THIRD PARTY NOTIFICATION 06/2016
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
1458 GO-READY CHECKLIST - JOINT INSTALLATION WITH DTE 10/2015
1497 CONTRACT FOR ELECTRIC SERVICE - INTERRUPTIBLE PROVISION ATTACHMENT
03/2017
1502 RESOLUTION 04/2009
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 10/2004
1510 ASSIGNMENT OF CONTRACT FOR ELECTRIC SERVICE 05/2009
1511 LETTER AGREEMENT TO CANCEL CONTRACT FOR ELECTRIC SERVICE 10/2004
1513 LETTER FOR INCREASED ELECTRIC CAPACITY REQUEST 10/2004
1514 DEVELOPER REQUEST FOR WAIVER OF REQUIREMENT FOR SEPARATE METERS IN RESIDENTIAL HOUSING UNITS 01/2014
1739 COMMISSIONING TEST REPORT FOR INVERTER BASED CATEGORY 1 & 2 05/2013
1754 SOLAR GARDENS ENROLLMENT FORM 02/2017 
1812 CONTRACT FOR GENERAL SERVICE SELF GENERATION GSG-2 (PRIMARY SERVICE) 07/2013
1814 CONTRACT FOR GENERAL SERVICE SELF GENERATION GSG-2 MISO INTERCONNECTIONS 12/2016
2101 CONTRACT FOR ENERGY INTENSIVE PRIMARY RATE EIP 12/2016
2333 AMERICAN RED CROSS IDENTIFICATION PROGRAM ENROLLMENT/CERTIFICATION 04/2016
2509 ARRANGEMENT FOR PAYMENT OF MISCELLANEOUS SERVICE 08/2015
2513 PAST DUE REMINDER NOTICE - RESIDENTIAL 08/2015
2515 SHUT-OFF NOTICE FOR NONPAYMENT- NON-RESIDENTIAL 08/2015
2558 RESIDENTIAL AGREEMENT FOR SERVICE EXPERIMENTAL ADVANCED RENEWABLE PROGRAM 01/2013
2588 SHUT-OFF NOTICE FOR DEFAULT OF WINTER PROTECTION PLAN PAYMENT 08/2015
2589 SHUT-OFF NOTICE FOR DEFAULT OF SHUT-OFF PROTECTION PAYMENT 08/2015
2804 SERVICE SKETCH TITLE BLOCK 05/2008
3700 CONTRACT FOR ELECTRIC SERVICE FOR USE WITH ALLOWANCE FOR CONTRIBUTION IN AID OF CONSTRUCTION 03/2017
3701 CONTRACT FOR DISTRIBUTION OF RETAIL OPEN ACCESS PRIMARY (ROA-P) ELECTRIC SERVICE FOR USE WITH CONTRIBUTION IN AID OF CONSTRUCTION 12/2016
3702 CONTRACT FOR GENERAL SERVICE PRIMARY TIME-OF-USE PILOT RATE GPTU 01/2017
3703 AGREEMENT FOR RESIDENTIAL SMALL FARM - GENERAL SERVICE RATE GS 09/2014
3803 SHUTOFF NOTICE FOR NONPAYMENT 08/2015
3807 SETTLEMENT AGREEMENT 08/2016
3808 MISCELLANEOUS BILL (MCBARS SYSTEM) 08/2016
3809 NON-ENERGY PAST DUE NOTICE 08/2016
3812 UTILITY BILL 08/2015
3818 CUSTOMER ENERGY BILL (BIANNUAL ALTERNATE TO BILL FORM 3812, ENVIRONMENTAL DISCLOSURE) 07/2014
3830 SALES TAX EXEMPTION CERTIFICATE 10/2013