Please complete this form to apply for electric service. OTEC will contact the applicant once the application has been processed to request a front and back photocopy of the applicant(s) government issued photo ID. Service requests are processed during normal business hours (Monday – Friday, 8am – 5pm). If you have any questions regarding service, please feel free to contact our office 541.523.3616.

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:   *
Middle Initial:  
Social Security Number:-  -   *
Government Issued ID #:  *
Issued State:  
Birth Date:    
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:   *
City, State and Zip Code; Additional Comments:   *
E-mail:  *
Confirm E-mail:  *
Home Phone:-  -    *
Cell Phone:-  -   
Work Phone:-  -     
Spouse Information:
*must be married to establish a joint account
Name:
 
Social Security Number:-  -   
Government Issued ID #:  
Issued State:  
Birth Date:    
Employer:  
Email Address:  
Phone Number (if different from applicant):  

Online Access:
We offer a portal for online bill payment and account management. To easily manage your account through our online portal, please create a password and hint. 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:

Electric Service Fees:

A. Connect Fee per meter:

Residential and Small Commercial  
During office hours (no site visit required) $30.00
During office hours (site visit required) $60.00
After Hours $200.00

 

Commercial and Industrial demand and irrigation meters  
During office hours (no site visit required) $35.00
During office hours (site visit required) $70.00
After Hours $200.00

 

B. Net Metering Inspection Fee $60.00

 

 C. Deposit

Applicant's credit will be reviewed after the application has been submitted to determine if a deposit is required. We will contact the applicant with the deposit information once the application has been processed.



Please indicate if location is a Rental or Seasonal Home/Business:  
Is location all Electric?  *
Additional/Emergency Contact Name:  
Additional/Emergency Contact Phone:  
Do you rent or own at the service location?   *
Please select your preferred Billing Method:  
 
The above named Applicant(s) hereby applies for membership with Oregon Trail Electric Cooperative (OTEC), and in consideration of the acceptance and approval of this Application by OTEC agrees upon the following terms and conditions.

I understand that checking this box and typing my name in the field provided below is my electronic signature. I (WE) AGREE TO THE TERMS AND CONDITIONS OF THIS APPLICATION.
  Applicant Name:     *