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Start/Stop Electrical Service
Service Modifications
Hire an Electrician
Overheight Load Requests
Call Before You Dig
Energy Solutions
Solar & Net Metering
DIY Home Energy Audit
Rebates
Community Connections
Operation Round-Up
Our Community
Your Cooperative
About Your Cooperative
Annual Meeting & Reports
Board of Directors
Careers
Leadership Team
Rates
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Strategic Plan
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Electric Service Application
Before You Begin:
The purpose of this form is to gather enough information to begin account setup. Please fill out all fields to the best of your ability.
Questions? Contact High West Energy at
307-245-3261
or email
billing@highwest.coop
.
Service Location
Connect/Transfer Date
Service Address / Physical Location
City, State
Does this location currently have a meter?
Yes
?
No
?
Unsure
Applicant Information
HWE Member Number (if current member)
Leave blank if you do not have an active account.
Legal Name / Account Name
Account Type
Personal
Business
Billing Mailing Address
Address
City/Town
State
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
ZIP/Postal Code
Billing Email Address
Billing Phone Number
Check this box if you want to add additional authorized contacts for this account
Additional Authorized Contact Name
Authorized Contact Phone
Authorized Contact Email
Service Request Characteristics
Do you rent or own this property?
Own
Rent
Landlord’s Name
Landlord's Phone Number
Do you have solar on site?
Yes
No
If you answer Yes, you will only be eligible for the Traditional Residential Rate and can also be enrolled in the Net Metering program.
Which rate program are you wanting to sign up for?
Rate options
Traditional Residentail
Receive monthly bill after your use of our electric service - deposit may be required
Residnetial Demand
Receive monthly bill after your use of our electric service - deposit may be required
Residential Time of Day
On Peak: 1pm-9pm, Off Peak: 9:01pm-12:59pm - deposit may be required
PrePaid Billing
Add funds to your account, energy use calculated daily and deducted from credit balance, no deposit required
Would you like to enroll in Operation Round Up®?
Operation Round Up®
is a voluntary program that allows High West Energy members to round up
their monthly electric bill to the nearest dollar. The extra cents are combined with donations from other participating members and used to help individuals, families, and organizations in the communities we serve.
Yes
No
Would you like to enroll in our SmartHub® program?
With
SmartHub®
you can sign up for auto-pay, turn on paperless billing, monitory energy usage, and set your notification preferences.
Yes
No