Stop Electric Service

Before You Begin: The purpose of this form is to gather enough information to begin the process to stop service at your location. Please fill out all fields to the best of your ability.

After receiving your request, a High West Energy representative will review the information provided and contact you to confirm account details and the requested service stop date. Additional information may be required before your request can be completed.
Submission of this form does not guarantee disconnection of service or account closure.

Questions? Contact High West Energy at 307-245-3261 or email billing@highwest.coop.

Service Location

Disconnect/Transfer Date

Member Name

First

Middle

Last

High West Energy Account Number

Service Address / Physical Location

City, State

Forwarding Mailing Address

Billing Mailing Address

Address

City/Town

State

ZIP/Postal Code

Comments/Questions

Service Request Characteristics

Transfer or Disconnect Request Type

Moving

Transfer service to new owner, tenant, or to landlord

Idle Service

Idle Service allows members to temporarily discontinue electric service while retaining High West Energy infrastructure at the property for future use.

Retire Service

ervice Retirement is a permanent removal of electric service from a property.

Moving

Landlord’s Name & Phone Number

Realtor's Name & Phone Number

New Owner's Name & Phone Number

Idle Service

Idle Service allows members to temporarily discontinue electric service while retaining High West Energy infrastructure at the property for future use.

By requesting Idle Service, I understand that:

•    Electric service will be disconnected at the requested location.
•    High West Energy facilities will remain in place for future service restoration.
•    The account will continue to be billed the current Idle Service rate, which is currently based on 75%
(seventy-five percent) of the applicable Grid Access Charge and is subject to change over time.
•    The current Idle Service rate and applicable charges can be confirmed with High West Energy prior to enrollment.

Retire Service

Service Retirement is a permanent removal of electric service from a property.

By requesting Service Retirement, I understand that:

Electric service will be permanently disconnected.
High West Energy will remove all cooperative-owned electric facilities associated with the service, including but not limited to meters, poles, transformers, conductors, and other equipment.
Future electric service to the property will require a new service request, engineering review, and additional construction costs.
Service Retirement is not be reversible without establishing new electric service.

Member Acknowledgement

I acknowledge that I have reviewed the information above and understand the potential impacts to my account and electric service.

Signature required inside box below.