New Submission

Are you a first time member at OEC?*field type radio button
Are you a first time member at OEC?YesNo
Billing Type*field type radio button
Billing TypeStandard Billing - Subject to an up-front deposit (minimum of $300). A $5 membership fee and $25 service initiation fee are both due up front.Prepaid Billing – Subject to a $5 membership fee, $25 service initiation fee and a $50 minimum prepaid balance for a total of $80 are due up front.
Click here for payment options!

Applicant Information

	First*field type single line	Middlefield type single line	Last*field type single line
Name	First*field type single line Input blocked. Maximum character limit of 4000 characters reached.	Middlefield type single line Input blocked. Maximum character limit of 4000 characters reached.	Last*field type single line Input blocked. Maximum character limit of 4000 characters reached.

Social Security Number*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Date of Birth*field type date
(MM/DD/YYYY)

Spouse Information

Please fill out this section if you selected Joint Membership Type.

Spouse Information

	Firstfield type single line	Middlefield type single line	Lastfield type single line
Name	Firstfield type single line Input blocked. Maximum character limit of 4000 characters reached.	Middlefield type single line Input blocked. Maximum character limit of 4000 characters reached.	Lastfield type single line Input blocked. Maximum character limit of 4000 characters reached.

Social Security Numberfield type number
If applicable
Date of Birthfield type date
(MM/DD/YYYY) If applicable
Phone Numberfield type number

Service Information

Service Address*field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Billing Addressfield type address
If Different From Service Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country

Engineering Services

Please fill out this section if engineering services will be required such as running overhead or underground lines.

Will Engineering Services be Required?*field type radio button
Will Engineering Services be Required?YesNo
Property Informationfield type multi line
If you selected 'Yes' please provide any applicable codes (such as a gate code), or instructions, needed to access the property.

Contact Information

Phone Number*field type number
No Dashes
Phone Type*field type radio button
Phone TypeHomeCellWork
Secondary Phone Numberfield type number
No Dashes
Secondary Phone Typefield type radio button
Secondary Phone TypeHomeCellWork
Email Address*field type email

Employment

Employerfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Spouse's Employerfield type single line
If applicable
Input blocked. Maximum character limit of 4000 characters reached.

Landlord Information

Please fill out this section if renting

Owner's Namefield type single line
If renting
Input blocked. Maximum character limit of 4000 characters reached.
Owner's Phone Numberfield type number

Emergency Contact

Name*field type single line
Outside the home
Input blocked. Maximum character limit of 4000 characters reached.
Address*field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Phone Number*field type number
Relationship*field type single line
Emergency contact's relationship to the Applicant
Input blocked. Maximum character limit of 4000 characters reached.

Authorized Person

Please fill out this section if you would like to add an authorized person to your account. This person may access your electric balance, make payment arrangements and connect/disconnect service on your behalf.

Namefield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Social Security Numberfield type number
Authorized Person Formfield type file upload
You can obtain a copy of this form at our office.
You have reached the maximum file limit: .

Date Service is Desired*field type date
(MM/DD/YYYY)
Service may not be requested more than two weeks in advance. Please allow up to 72 hours for processing.

SmartHub Account Setup

SmartHub Account Emailfield type email
This will be your account username
SmartHub Account Passwordfield type single line
This must be at least 4 characters long and have at least 1 number
Input blocked. Maximum character limit of 4000 characters reached.

Billing

Please fill out this section out if you selected standard billing

Paperless Billingfield type radio button
If you selected standard billing, would you like to enroll in paperless billing?
Paperless BillingYesNo
Due Datefield type drop-down
I have referenced the Billing Cycles and would prefer to use the following one:
Letter of Creditfield type file upload
Do you have a letter of credit you would like to provide?
You have reached the maximum file limit: .
Files must be less than 10MB and of gif, jpg, jpeg, pdf, png, or tif format

Confirmation

Please Confirm*field type checkbox
Please ConfirmI understand I have the option of opting out of Operation Round Up
Please Confirm*field type checkbox
Please ConfirmI have read and agree to the Terms and Conditions of OEC. 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 give OEC express consent to send SMS text alerts to inform me of account activity including account balance and usage information. If your mobile number changes, it is important that you contact OEC to update the information. This will minimize interruption in your SMS text alerts service. OEC requires all information be submitted either in person or notarized copies by mail. If you choose to submit any information in advance via fax or online, please be advised that the electronic transmission of personal identifying information (Social Security number or other identifying information) may be subject to inadvertent disclosure to third parties due to the nature of the technology. Any delivery of personal identifying information is at your own risk and no guarantee or warranty of privacy, express or implied, is given by Oklahoma Electric Cooperative. OEC will use commercially reasonable measures to protect information received or sent by OEC at your request. OEC does not use encrypted data to communicate with its customers and members.
Signature*field type signature

Residential Membership Application

Applicant Information

Spouse Information

Spouse Information

Service Information

Engineering Services

Contact Information

Employment

Landlord Information

Emergency Contact

Authorized Person

SmartHub Account Setup

Billing

Confirmation