Establish Service

Please complete this application to apply for service with Dixie Electric Cooperative. If you have any questions regarding setting up service, please feel free to contact our office during our regular business hours, which are 8 a.m. until 5 p.m. Monday through Friday.  We can be contacted at any of the following numbers:

Union Springs   334-738-2500
Montgomery    334-288-1163
Toll-Free       1-888-349-4332

Please select the appropriate application based on the type of service requested. Click here to view details regarding the various service types.

If your water service is provided by South Bullock County Water Authority, and you wish to apply for water service in addition to your electric service, please select both service types in the checkbox below.


Note: All fields with the asterisk (*) are required.

Today's Date:  
Date Service is Desired:  *  
Type of Request:   *
Type(s) of Service:      *
Applicant First Name:   *
Applicant Last Name:   *
Applicant Middle Initial:  
Applicant SSN:--  *
Driver's License #:  *
License State:  
Birth Date:    
Employer:  
Employer's Address:  
City, State:  
Zip Code:  
Purpose of Service: (indicate permanent home, temporary service, mobile home, barn, hunting cabin, seasonal residence, or other):  

Mailing Address:
Street Address/P.O. Box:  *
City:  *
State:  *
Zip Code:   *

Service Address:
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:-- 
Co Applicant Driver's License:  
Co Applicant License State:  
Co Applicant Birth Date:    
Co Applicant Employer:  
Co Applicant Employer Address:  
Co Applicant Work Phone:  

Online Access:
As a service to our member-owners, we provide online access for viewing and paying bills. If you would 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:

Existing Service:
Have you ever had service with Dixie Electric Cooperative in the past?

    
Account Number:

Deposit Information:
Residential/Farm - All applications for service are subject to approval and/or credit check.  If you prefer that a credit check not be run on your account, you will automatically be charged the full deposit amount. A deposit amount shall equal the greater amount of 2.5 times the following: 1) the service location's average monthly bill; 2) the average monthly bill of the Residential and Farm Service rate classes' annual monthly bill; or 3) the estimated bill for electric usage for a structure of similar size.

Non-Residential - A deposit, surety bond or irrevocable letter of credit is required of any non-residential member-owner before electric service will be supplied to insure payment of final bills. A deposit, suitable guarantee or security for those members shall be equal to the greater amount of 2.5 times either the service location's (location to be connected for the member) average monthly bill or the electrical load requirements for the service location.

Water - A deposit of $50.00 is required to establish service.

Electric Fees:
 Membership Fee - Dixie Electric Cooperative is a member-owned electric utility. In order to establish membership, a $5 membership fee is required. This fee is refunded when service is disconnected.

Connection Fee - A connection fee is required on all accounts to cover the cost of processing applications and establishing electric service. This fee varies depending on the type of connection required. The fee for connections that require a trip to the service location is $40. Prepay connection fees are also $40. The fee for connections that can be performed from the office is $25.

You will receive an e-mail once your application has been processed indicating the total amount due, including deposit, before service will be connected.


Please indicate if you prefer to have a credit check, pay the full deposit or use prepaid electric service:  *
Name of Nearest Relative Not Living in Household:  
Relationship to Applicant:  
Relative Phone #:  
If Renting, Landlord's Name:  
Landlord's Phone #:  
Do you Rent or Own the property?  
Please select your preferred Billing Method:  
 
Important - Read Carefully

I have read and agree to the Terms and Conditions, as well as the Bylaws of Dixie Electric Cooperative and/or the Terms and Conditions and Bylaws of South Bullock County Water Authority.  By submitting this application request, I also agree that a credit check may be submitted, if necessary, to determine if a security deposit is required.  I understand that Dixie Electric Cooperative is a member-owned utility.  Therefore, membership is required to receive electric service.