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Additional Meter Request

Form for active members that are needing to set up an account for another meter in their name.

Service Address(Required)

Physical Address of Service Location Address 2 City State ZIP Code

Addition

Lot

Block

Does your mailing address need to be updated?(Required)

Yes

Mailing Address(Required)

Mailing address for bill statement Address 2 City State/Province ZIP Code

Member Name

Name(Required)

First Last

Social Security Number(Required)

Please enter a number greater than or equal to 0 .

Email Address(Required)

Home/Primary Phone(Required)

Cell Phone

Drivers License(Required)

Accepted file types: gif, jpg, png, svg, jpeg, Max. file size: 20 MB.

Main Applicant Signature(Required)

Date

Time

Add Spouse or Secondary Account Holder?(Required)

Yes

Co-Applicant

Name

First Last

Co-Applicant Social Security Number(Required)

Co-Applicant Home/Primary Phone

Co-Applicant Cell Phone

Co-Applicant Drivers License(Required)

Accepted file types: gif, jpg, png, svg, jpeg, Max. file size: 10 MB.

Co-Applicant Signature(Required)

Co-Applicant Date

Co-Applicant Time

Additional Questions

Proof of Ownership or Lease/Rental Agreement(Required)

Accepted file types: pdf, Max. file size: 512 MB.

Is there already a meter(s) at this location?(Required)

Yes

Name of Previous Occupant

First Last

Date of Transfer/Requested Connect(Required)

Meter Number(Required)

Service Description(Required)

Additional Meter Number

Additional Service Description(Required)

Additional Meter Number 3

Additional Service Description 3(Required)

Is this for new construction?(Required)

Yes – new lines/poles/equipment need to be installed

No – previously had service connected at location

Remarks(Required)

Please provide nearest service pole # or additional information on what is to be reconnected

Notes

New Services

Have you already been in contact with a staking technician?(Required)

Yes

Staking Technician Name(Required)

Comments(Required)

Please give additional information on what you are going to be building, or any additional information you can provide to let us know what is needing to be done.

Comments(Required)

Please provide Service Description and any additional information that may be helpful for your request

Terms of Agreement

Applicant agrees to become a member and comply with and be bound by the Cooperative’s articles of incorporation, bylaws and tariffs, including rate schedules and service rules. Rates may be changed by the Cooperative’s board of directors in the manner provided by law. Member shall grant to Cooperative written easement(s) satisfactory to the Cooperative that are necessary for a cooperative purpose including providing electric service to Member or other members or applicants for the Cooperative’s service. Access is required for inspection and line maintenance purposes. Member/Consumer agrees to provide access for all utility purposes. Member/Consumer agrees to allow Fannin Electric Co-op. to install a lock if there is or ever shall be a locked gate at this location.

All Applicants subject to ID verification and credit report review. False, inaccurate or incomplete information will invalidate the application until discrepancies are resolved.

Please allow up to 3 business days from the initial scheduled date for connection of an existing service location.

You Will Be Contacted by Phone or E-Mail for Total Balance of Fees Due (which May Include a Security Deposit And/or Connection Fees), Your Account Number and Payment Methods.

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Additional Meter Request