Please complete this application to apply for electric service. Once you have submitted this application, please provide a front and back photocopy of your government issued photo ID to otecmemberservices@otec.coop. Upon receiving your government issued photo ID, we will process your request. 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.

Click here for more information about our Prepay Metering program and its advantages.

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:  
Cell Phone Carrier:  *

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

Service Address:
Please provide entire service address, including Apartment # and City, incomplete applications will be delayed in processing
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):  
Please have your spouse type their name in the field area for this to be a joint account; this serves as your electronic signature agreeing to the terms below:  
Cell Phone Carrier:  

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?
*enter only numbers before dash into the account number field below.  Example "12345-001" would be "12345"    
Account Number:


Would you like this to be a Prepay Account?
(indicate yes or no)		  *
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:  
Please select your preferred Delinquent 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 as follows. I (we) also agree to the Prepaid Metering Agreement, if applicable. I (we) also agree to receive text messages from OTEC.
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:     *