Stop Service Application

Valley Electric Association, Inc.

Member Number*
Applicant Legal Name*
Applicant Social Security Number*
Telephone Number — Home*
Applicant Email Address*
Service Address*
Street Address Address Line 2 City State ZIP Code
Forwarding Address
Street Address Address Line 2 City State ZIP Code
Stop Service Requested*
- Electric
- Internet
Requested Service Disconnect Date*
MM
DD
YYYY
Photo ID*
Do you consent to signing this document electronically?*
- Yes
By submitting this request you are stating that you are the authorized person on this account and will be responsible for any amounts owed on the final billing.
Applicant Full Name (Electronic Signature)*
Date*
Date Format: MM slash DD slash YYYY

Start, Stop Service and View Rates

Start, Stop Service and View Rates

Start, Stop Service and View Rates

Board Documents

Board Documents

Board Documents

Board Members

Board Members

Board Members

Service Territory Map

Service Territory Map

Service Territory Map

FAQ

FAQ

FAQ

Engineering Documents

Engineering Documents

Engineering Documents