Forms

To setup service as a New Customer please fill out the New Customer Information form and the User's Agreement.  Also, scan and send a copy of your driver's license.  Call with Debit/Credit Card to pay deposit. 

To setup a NEW service, meaning if you need a new meter set; please fill out the New Service Application and the User's Agreement and send copy of your driver's license. Call with Debit/Credit Card to pay fees.

If you have questions about forms please call the office at 812-654-3200.  If forms are not filled out entirely, service will not be connected.  

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Applicant Information

Service Address

Service Location

Billing Address