Starting Electric Service | Raccoon Valley Electric Cooperative

Requested service start date

(Please ask the previous owner or occupant to contact us to close their account.)

911 Address of the Property

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Mailing Address for Billing

Mailing address for billing

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Map location number or account number (if known)

Names of all individuals to be listed on the account

Names of all individuals to be listed on the account
Names of all individuals to be listed on the account

Social Security numbers for all account holders

Social Security numbers for all account holders
Social Security numbers for all account holders

Driver’s license number

Deposit to open the account

(Deposit amount is based on the highest one-month bill from the previous 12 months of service at the location)