The undersigned (hereinafter called the "Applicant") hereby applies for membership in the Jackson Electric Cooperative (hereinafter called the "Cooperative"). In consideration of the acceptance of this application, the Applicant(s) does further agree with the Cooperative as follows:
The acceptance of this application by the Cooperative shall constitute an agreement between the Applicant and the Cooperative. The contract for electric service shall remain in force until canceled by withdrawal of the Applicant from membership in the Cooperative.
If Applicant agrees, the Applicant and/or Co-Applicant's identification will be verified through a third-party entity. A $350 deposit may be required. Deposit must be paid in full before electric service is transferred or reconnected. Deposit will be credited back to the account after 12 consecutive months of payments without delinquency.
If the Applicant denies the identity verification and credit check, Applicant can enroll in Cooperative's auto pay program or submit a credit reference letter of good standing from the most previous electric utility. Applicant and co-applicant must submit to Jackson Electric Cooperative one form of government-issued photo ID to Cooperative to verify identity. Items must be submitted to Cooperative before electric service is transferred or reconnected. If account is disconnected for non-pay, Applicant will be required to pay the past due amount and any other fees to have power reconnected.
Please complete and submit the following application.
A $15 processing fee will be charged to your first billing statement.