Application for Service

New members and existing members may apply for service with the form below. New services are connected AT THE EARLIEST, the next business day, but in some circumstances, it could be longer.  

A SVEC representative will contact you for more information, so please include a good call-back number. If you have any questions regarding service, please contact our office during normal business hours. Office hours are Monday - Friday, 7:30 a.m. - 4:30 p.m.  Fields with the asterisk (*) are required.

Today's Date:  
Date Service is Desired:  *  
Type of Request:   *
Applicant:
Applicant First Name:		   *
Applicant Last Name:   *
Applicant Middle Initial:   *
Social Security Number:--  *
Driver's License:  *
State:   *
Date of Birth:  *  
Employer:  

Mailing Address:
Please enter the address where bills should be sent: 
Street Address/P.O. Box:  *
City:  *
State:  *
Zip Code:   *

Physical (911) Address of Location:
Service Address:   *
County and Additional Comments:  
E-mail:  *
Confirm E-mail:  *
Home Phone:--   *
Cell Phone:--  
Work Phone:--   
Co Applicant:
Co Applicant Name:		 
Co Applicant SSN:-- 
Co Applicant Drivers License:  
Co Applicant State:  
Co Applicant Date of Birth:    
Co Applicant Employer:  
Relationship to Applicant:  

Online Access:
From our website and our SVEC App for iPhone and Android, we offer an online portal where you can pay your bill, view your balance, report a power outage, as well as manage your account. If you would like to use this option, please specify a password and password hint below. Your password must be a combination of alpha and numeric characters. To download the SVEC App for iPhone go to the App Store; to download the SVEC App for Android go to Google Play.
Internet Password:  
Confirm Internet Password:  
Password Hint:

Previous Service:
Have you ever had service with SVEC before?
    
Account Number:
Fee & Deposit Information:
In addition to the $20.00 service fee, a deposit may also be required.  Once your account is created in our system, you will receive an email advising of the total amount due on your new account, including deposit, if applicable.  

Residential:
Deposits are determined by credit rating. Amounts vary from $0 - $400, or twice the average bill at the location, or which ever is higher.  
A co-signer or guarantor can sign for new members to avoid paying a deposit. Guarantors must have an active account for at least 13 months and no late payments. The agreement will be in effect for one year or longer. Please call your local office if you have any questions about guarantors.

**Pre-Paid Metering does not require a deposit, no statements are mailed; member responsible for maintaining minimum balance. PPM connect fee is $25 and requires an initial payment of $100, making the total to open a PPM account $125.00.

Business:
Deposits will be determined by Customer Service after the application has been received. The minimum deposit is $300 for a business location. A Letter of Credit from a bank or Surety Bond can be accepted in lieu of a cash deposit.  


Type of billing requested:
(indicate traditional or prepaid)		  *
Emergency Contact Name:  *
Emergency Contact Number:  *
If renting, landlord name:  
If renting, landlord phone:  
Do you own or rent the property?   *
Would you like to sign up for the SVECares program?   *
Please send my monthly statement by:   *
 
By submitting this application, the signed individual(s), (hereinafter called the “Applicant”), acting in person applies for membership in and/or applies for electric service from Sequachee Valley Electric Cooperative (hereinafter called “Cooperative”) and agrees to the following terms and conditions.

Permission to Contact
I give permission for SVEC to contact me by text, phone or email if my account becomes delinquent.
Signing below acknowledges that the terms and conditions listed above have been read and I and/or we agree to adhere to the policies of the Sequachee Valley Electric Cooperative.
  Applicant Name:     *