Commercial Service Application

Complete the application below to apply for electric service with Southeastern Indiana REMC.

Once your application has been submitted, you MUST contact the REMC to have your service energized.

Service connections occur during normal business hours, Monday through Friday, 7:30 a.m - 4:30 p.m. Service cannot be connected after business hours, on weekends, or holidays. Requests submitted after 3:00 p.m. will be processed the next business day.

If you have questions regarding the Commercial Service Application, please contact our office at 1-800-737-4111.

Please review the Service Rules & Regulations prior to submitting your application for residential service.

Today's Date: *

Month

Day

Year

My Customer Service Representative: *

Select the CSR you have been working with.

Business Name/DBA *

Federal ID#: *

Business Mailing Address: *

Street Address, City, State, Zip

Business Phone #: *

Business Fax #: *

Business Agent Name: *

Business Agent Title: *

Business Agent E-mail Address: *

Business Agent Cell Phone #: *

Former Southeastern Indiana REMC Member? *

If YES, please provide the former account name:

Former Account #

Service Address: *

Street Address, City, State, Zip

Date Service is Desired: *

Month

Day

Year

Fuel Source: *

If you selected OTHER, please specify your fuel source:

Do you Rent or Own at the service location? *

Terms of Acceptance and Signature: *

I , the applicant for this Commercial Service, warrant the truthfulness of the information provided in this application. I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the terms of service outlined in the Service Rules and Regulations of Southeastern Indiana REMC.

Electronic Signature: *

Please type your Full Name.

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Commercial Service Application