Contact Us
OUTAGE HOTLINE: 1-877-504-6463


We look forward to having you as a member of our cooperative. Please complete the forms on these pages to initiate electric service. If we need additional information we will contact you via email.

Please be aware that we need a minimum of three (3) business days to complete your request for service, barring unexpected delays or holidays that fall on weekdays.

By applying for service, you acknowledge that you have read and agree to our Terms of Membership & Electric Service . You also are agreeing to a financial check to determine whether a security deposit will be required to activate service. If a deposit is required, we will notify you via e-mail or telephone. You might also be asked to provide proof of ownership.

Please complete the following information and return the completed form to our office. Information in blue is required.

Requested Service Date (MM/DD/YYYY)

Please select either a Personal or Business Account.

Personal Account

First Name
Middle Initial
Last Name

Business Account

Business Name
Contact Name

Service Address

Apartment # (if applicable)
Zip Code

Mailing Address (If Different from Service Address)

Apartment # (if applicable)
Zip Code

Account Owner Information

Contact Phone Number (555-555-5555)
Cell Phone Number (if different)
SSN (xxx-xx-xxxx)
Date of Birth (MM/DD/YYYY)
Work Phone Number

Additional Account Owner

Name on Account
SSN (xxx-xx-xxxx)
Date of Birth (MM/DD/YYYY)

Type of Residence Single Family   Multiple Family   Apartment   Townhouse
Is this Your Primary Residence? Yes   No
Own/Rent Home? Own   Rent
If Rent, Name of Owner

Energy Information

Please complete the following information to help us serve you better by making sure our service is sized to meet your needs.
Type of Heat Oil   Propane   Gas   Electric   Other
Electric Dryer Yes   No
Electric Range Yes   No
Dishwasher Yes   No
Refrigerator Yes   No     How many?
Freezer Yes   No     How many?
Central Air Conditioner (tons)
Pool Pump (hp)
Well Pump (hp)
Electric Water Heater Yes   No
Other Unusual Uses of Electricity ~ Soaking tub, animal trough heater, decorative ponds with fountains or aerators, greenhouse, etc.
Confirm: Type the value above in the field below:


1. Applicant represents and warrants that they are the owner of the property, or are a tenant at the property for which service is requested under a lease or other agreement with the property owner. In the event that the Applicant is neither an owner or tenant, service will not be provided.

2. Any person or business (hereinafter called the applicant) applying for membership in Sussex Rural Electric Cooperative (hereinafter called the "Cooperative") agrees to pay the sum of $5.00 for membership, for which a membership certificate will be issued to the applicant.

3. Applicant further agrees to place on deposit a sum to guarantee payment for electric energy used if such a deposit is determined to be required; such deposit to be determined according to the Cooperative's then current deposit policy, a copy of which will be made available to the applicant upon request.

4. When the Cooperative makes electric energy available, the applicant agrees to purchase from the Cooperative and pay monthly to the Cooperative for all electric energy used on the premises described below in accordance with the applicable service classification and rules and regulations as may be established from time to time by the Cooperative.

5. Applicant agrees that applicant's premises shall be wired in accordance with the National Electric Code, as established by the National Board of Fire Underwriters. Applicant hereby releases the Cooperative from any and all liability of every kind and nature for damage which may occur from defective wiring of said premises and hereby agrees to hold the Cooperative harmless from any and all such liability.

6. Applicant agrees to grant and secure the necessary easements and right-of-way to provide service to applicant's property free of charge. Applicant hereby further agrees that the Cooperative shall have access to the premises as necessary for meter reading and for installation, replacement, repair and maintenance of such facilities of the Cooperative on the applicant's premises as are necessary or appropriate in the Cooperative's judgment to the provision of safe, adequate and proper service. Applicant further agrees to the continued presence on the premises served of those facilities of the Cooperative now in place including, but not limited to, meters, wiring, load management devices and related equipment as well as the replacement and repair thereof. Applicant hereby accepts all obligations and rights with respect to the presence, maintenance, installation, replacement and repair of the facilities of the Cooperative now in place at the premises which accrue to the Cooperative by virtue of agreements or understandings made with previous owners or occupants of the premises served.

7. Applicant will comply with and be bound by the provisions of the bylaws and rules and regulations of the Cooperative now in force or as may be adopted from time to time. Applicant agrees that Capital Credits accrued on the applicant's behalf, when retired, may be applied to outstanding indebtedness owed by the applicant or to establish or augment applicant's security deposit. Applicant hereby irrevocably waives any relevant statute of limitations as a defense to any claim made by the Cooperative, by way of setoff of Capital Credits for any amounts which become due, or which are claimed to have become due to the Cooperative from that member during his or her membership. Such waiver shall continue in effect notwithstanding any subsequent termination of membership.

8. If the property for which service is being provided is or becomes a rental property, the account will automatically revert to the property owner upon tenant vacating the property.

9. Applicant agrees to provide two days' notice prior to vacating any property served by the Cooperative. Such notice may be either verbal or written. Until such notice is given, the applicant acknowledges and agrees that they are responsible for all electric usage.

By Checking the AGREE box and clicking SUBMIT, I acknowledge that I am applying for electric service, and it is my intent to sign the Cooperative's Service Agreement electronically, and by submitting this document electronically I understand that this is the legal equivalent of having placed my handwritten signature on the document. I also represent that I have the authority to apply for service at this address and will abide by the terms of membership and electric service.