New Service Application

Please complete this form to apply for NEW service only.  All requests received after 1 p.m. will be processed the next business day. Same day service requests received before 5 p.m. are subject to an additional charge of $60.

Note: All fields with the asterisk (*) are required. Incomplete applications will not be processed.  Information on this applciation will be used for the purpose of a credit check through Experian. Depending upon the results of your credit check, you may be required to pay a deposit in full, prior to electric service being connected. Avoid high deposits with InControl pre-pay service. With WEC’s In Control pre-pay option, you have an opportunity to pay in advance for your electricity, avoiding high deposits. Click here for more information about PrePay.

Please note that all applications for service are subject to approval and/or credit check. A membership fee of $5 and an account service charge of $10 is required and will need to be paid at the time of application along with a security deposit which is determined by a credit check. Any past due amounts to Wiregrass Electric must be paid in full before new service can be established.

WEC bylaws and rate structure are available on the website.



Today's Date:  
Date Service is Desired:  *  
Type of Request:  *
Applicant First Name:   *
Applicant Last Name:   *
Applicant Middle Initial:  
Applicant SSN:-  -   *
Driver's License:  *
Applicant Date of Birth:  *

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

Please enter the street address where service is required:
Service Address:   *
Service Type (Construction Required or Existing Service):  *
If applicable, directions to new construction:  
E-mail:  *
Confirm E-mail:  *
Home Phone:-  -    *
Cell Phone:-  -   
Business Phone:-  -     
Co Applicant Name: 
Co Applicant SSN:-  -   
Do you want this to be a Joint Membership? (please indicate yes or no)  
Applicant Cell Phone Provider: (NOT CO APPLICANT CELL PHONE PROVIDER)  

As one of our services, we provide an online application for viewing and paying bills. If you'd like to use this service, you can specify an Internet Password and Password Hint at this time. Please note that the Internet Password must be at least 4 characters in length.

Internet Password:  *
Confirm Internet Password:  
Password Hint:

Have you ever had service with us before?    
Account Number:

IMPORTANT READ CAREFULLY: Your deposit will be determined by a credit check. A $5 refundable membership fee and $10 non-refundable meter fee also apply. A customer service representative will contact you with your deposit amount.


Membership Fee:  
Meter Set Fee:  

As a convenience to our members Wiregrass Electric Cooperative offers many payment options, including Bank Draft. If you are interested in signing up for automatic Bank Draft, please indicate "yes" in the field area and click here to complete the required Bank Draft Authorization Form.

 

Learn more about how you can help keep rates as low as possible through participation in our Load Management Program. Are you interested in learning more? (please indicate yes or no in the field area)

 
Is there a outdoor light at this location?  *

Would you like the outdoor light turned on?
Click here to complete the required outdoor light form.

 *
Do you Own or Rent this location?  *
Enroll in Operation Round Up? 
Please select preferred Billing Method:  *
 
Having had an opportunity to read the Wiregrass Service Terms, Conditions and Rules and Regulations and PrePay Terms and Conditions (if applicable), I agree.