Please complete this form to apply for electric service. Service requests are processed during normal business hours (8:00am - 5:00pm, Monday - Friday). If you have any questions regarding service, please feel free to contact our office 903-846-2311.

Note: All fields with the asterisk (*) are required. Incomplete applications will not be processed.

Today's Date:  
Date Service is Desired:  *  
Type of Request:   *
Applicant Information:
First Name:		   *
Last Name:   *
Soc.Sec. No.:-  -   *
Driver's Lic. No.:  *
Date of Birth:  *  
Employer:  

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

Service Address:
Please provide the physical 911 address.
Service Address:  
Service Type (Construction Required or Existing Service):  
6 Digit Meter No:  
Nearest 6 Digit Meter No. for New Construction:
Requirements for New Construction. View our new service checklist.		  
E-mail:  *
Confirm E-mail:  *
Home Phone:-  -    *
Cell Phone:-  -   
Business Phone:-  -     *
Co Applicant Information:
Name:		 
Soc.Sec. No.:-  -   
Driver's Lic. No.:  
Date of Birth:    
Employer:  

Online Access:
We offer a portal for online bill payment and account management. If you would like access to your account online, please create a password and password hint below. Please note passwords must be a combination of letters and numbers.
Internet Password:  
Confirm Internet Password:  
Password Hint:

Existing/Previous Service:
Have you had service with us before?    
Account Number:
Fee Information:
In addition to the connection fee, each applicant may be required to pay an application fee and/or a deposit. Click Here for information on how you can waive the deposit by participating in our Prepay Billing Program. If an application fee has been paid within the last 12 months, another will not be required. A staking fee will also be required for all applicants requesting new construction. When your account is created in our system, you will receive and email including the total amount due on your new account. See (Member Policy 11 Fee Schedule) (Member Policy 10 Deposit).

Connect Fee:  

Would you like this to be a Prepay Account? (please indicate yes or no)  *
If our records show this property to have an existing security light, do you want it connected? (please indicate yes or no)  *
What will this meter service?
(please indicate house, mobile home, well, barn, shop, apartment, etc)		  *
Do you rent or own at the service location?   *
Please select your preferred Billing Method:   *
 
The undersigned (hereinafter called "Applicant") hereby applies for membership in and electric service from Bowie-Cass Electric Cooperative, Inc. (hereinafter called "Cooperative) subject to and in agreement with the following conditions.
I understand that checking this box and typing my name in the field provided below is my electronic signature.
  Applicant Name:     *