Transfer Service

You will need the account number or address of the new service location, the day of closing/moving in, and full contact information before the change can be made.

Submit the form below if:

You are purchasing a home and moving into that home
Selling your home and disconnecting or transferring to the new owner

If you are building a new construction home or building or adding a new building on your existing property, use our New Service Request form.

To transfer your service, complete the form below. A customer service representative from the cooperative will then contact you.

Applicant Information

Account Number *

Date of Transfer for Existing Location *

First Name , Middle Initial, Last Name *

Date of Birth

Social Security Number or Tax ID #

Primary Phone #

Employer

Employer Phone #

Co-Applicant Information

As a Co-Applicant/Responsible Party, you may alter the nature of this account(s) and request any information concerning this account. As Co-Applicant/Responsible Party, you also accept any liability for any debt incurred on the account.

Spouse/Other Responsible Party First Name

Spouse/Other Responsible Party Last Name

Date of Birth

Social Security Number/Tax ID #

Primary Phone #

Employer

Employer Phone #

Contact Information

Current Mailing Address *

City *

State *

Zip *

Primary Phone # *

Mobile Phone #

Email *

Will any other adults reside at this location? *

Yes

Other Adults Residing at Location

Name *

Relationship * Relationship

Add Remove

New Service Location Information

Service Location Address *

City *

State *

Zip *

Are you the property owner? *

Yes

Landlord's Name

Landlord's Phone #

Is this location your primary residence?

Yes

If this is not your primary residence, enter your billing address:

Billing address

City

State

ZIP

Date of Transfer / Possession (MM/DD/YYYY)

Agreement

The undersigned hereby requests membership in Daviess-Martin County REMC. I/we agree to be bound by the Articles of Incorporation, the Bylaws, and amendments thereto, and such rules and regulations may be adopted from time to time by the Board of Directors. All statements are true and complete to the best of my/our knowledge. I/we agree to pay valid bills for Daviess-Martin County REMC services. If I/we fail to pay for the services, I/we understand that I/we will be responsible for attorney fees and other costs of collection incurred by Daviess-Martin County REMC equal to 35% of the amount due. If applicant is not already a member, this Agreement shall constitute an application for membership in the Cooperative. By signing the Agreement, member (including both parties to a joint membership) hereby give (s) the Cooperative permission to collect prior credit history for the purpose of determining deposit amount. Further, I/we agree, in order for Daviess-Martin County REMC to service this account or to collect any amounts owed, REMC may contact me by telephone at any telephone number associated with this account, including wireless telephone numbers, which could result in charges to me. REMC may also contact me by email using any email address that I may provide. Methods of contact may include using pre-recorded/artificial voice messages and/or use of an automatic dialing device, as applicable. The Cooperative shall use reasonable diligence to provide a constant and uninterrupted supply of electric power and energy here under. If the supply of electric power shall fail or be interrupted, or become defective through an act of God, government authority, action of the elements, public enemy, accident, labor trouble, required maintenance work, inability to secure the right-of-way, or any other cause beyond the reasonable control of the Cooperative, the Cooperative shall not be liable therefore or for damages caused thereby.

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Need to start new service?

If you are building a new construction home or building or adding a new building on your existing property, use our New Service Request form.

A credit history of 12 previous months with another electric utility is needed to determine if a deposit is required. If an initial deposit is required, it must be paid before service can be connected. The deposit is refundable after paying twelve consecutive bills on time.

Start new service.

Transfer Service

Applicant Information

Co-Applicant Information

Contact Information

Other Adults Residing at Location

New Service Location Information

Agreement

Need to start new service?

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