New Service

Receiving Service

The fastest and easiest way to apply for service is to complete the Member Application form below. One of our Member Service Representatives will reach out to you within one business day to complete the process or answer any questions.

If you would prefer, you can also call or stop by our office during business hours to start your new service. All new services will require that you:

Pay a $25 non-refundable application fee.
Sign the appropriate membership and service applications.

Requirements & Deposits

For all new services, a credit check will be performed.
- If satisfactory, no security deposit will be required
- If unsatisfactory, a security deposit of up to a 3-month average bill will be required
Anyone applying for electric service having an unpaid bill with Clark County REMC will be required to pay both the unpaid bill and a security deposit, regardless of the results of the credit check
- Deposits retained by Clark County REMC longer than 12 months will earn interest from the date of deposit
Any member who prefers to not pay a security deposit may enroll in Prepaid Billing, an easy and convenient way to manage your electric service without due dates, late fees, security deposits, or monthly bills. Find out more here!

Membership Application Form

This field is for validation purposes and should be left unchanged.

Date to Begin Service(Required)

Once all paperwork and payments have been received, it may take up to three (3) business days for service to be connected.

Name(Required)

First Middle (If no middle initial, enter 1234) Last

Service Address(Required)

Street Address Address Line 2 City State ZIP Code

Billing Address(Required)

I want my bills to be mailed to my service address.

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Email Confirm Email

Preferred Contact Method(Required)

Phone

Are there any special/unique circumstances at your location? Check all that apply.(Required)

EV Year, Make and Model(Required)

ie, 2022 Ford Mustang Mach-E

Do you have a home EV Charger?(Required)

No, we charge at retail and other public stations.

Yes, level 1 (trickle charge with a standard 120V household outlet and cord)

Yes, level 2 (faster charge with a dedicated 240V outlet)

Would you like information on a special whole-home rate for electric vehicle charging?(Required)

Yes

To receive credit for solar generation at your property, you must first complete and sign an Interconnection Agreement and provide REMC with proof of homeowner’s insurance. Until all required documentation is received and approved, your account will remain on the standard residential rate, and no credit for generation will be applied.

Is this request for an existing building or new construction?(Required)

Existing Building

New Construction

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Organization Name(Required)

Business Name

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Federal Tax ID Number / EIN(Required)

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Federal Tax ID / EIN Certificate(Required)

Please upload a picture/copy of your federal tax ID or EIN certificate

Max. file size: 800 MB.

Date of Birth(Required)

Providing your social security number allows Clark County REMC to run a soft-hit credit check during the application process. This information will be used to determine if a security deposit is required.(Required)

I will provide my social security number

I will not provide my social security number. I understand that I will be required to pay a deposit

Social Security Number(Required)

Billing Type(Required)

Please select which service type you are applying for

Traditional Monthly Billing (may require security deposit)

Prepaid Billing (no security deposit required)

I'm not sure

What other service and account features are you interested in?(Required)

Have you had previous service with Clark County REMC?(Required)

Yes

Previous Service Address(Required)

Street Address Address Line 2 City State ZIP Code

Member Consent and Agreement(Required)

I hereby verify the information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.

1. The undersigned (“Applicant”) hereby applies for membership in, and agrees to purchase electric energy and distribution services from, the CLARK COUNTY RURAL ELECTRIC MEMBERSHIP CORPORATION (“Cooperative”).

2. Applicant agrees to provide any easement or right-of-way at no cost to Cooperative as needed for Cooperative to provide service.

3. Applicant agrees to comply with the Bylaws of Cooperative and any amendments thereto, and such Cooperative Rules and Regulations as now exist and/or as may be adopted from time to time.

4. Applicant agrees to pay for services rendered and/or the minimum bill in accordance with the applicable rate schedule and Cooperative policy.

5. Applicant acknowledges and agrees that if Cooperative must initiate collection efforts to recover amounts owed to Cooperative by Applicant, Applicant will also pay: (a) any and all costs incurred by Cooperative in pursuing collection, including, but not limited to, reasonable attorneys’ fees, (b) any court costs, (c) any other costs of litigation as are permitted by applicable law,(d) pre-judgment interest as permitted by law, (e) post-judgment interest, and (f) any other collection fees incurred by Cooperative to the fullest extent permitted by law.

6. Applicant agrees to pay for construction charges, when deemed necessary, according to the Cooperative policy or a facilities cost reimbursement agreement between Applicant and Cooperative.

7. Applicant shall provide credit information prior to Cooperative rendering electric service. Cooperative may require a security deposit in accordance with Cooperative policy. Such deposits may bear interest in accordance with Cooperative policy. Any portion of said deposit not applied to the payment of bills due Cooperative shall be refunded to Applicant upon termination of service, or as otherwise set forth in Cooperative deposit policies.

8. Applicant shall provide Cooperative the right of access to the premises for the purpose of installing, reading, inspecting or repairing electric meters or other equipment for any purpose incidental to providing electric service.

9. The acceptance of this application by Cooperative shall:
1. Commence on the date that service was made available by Cooperative, and continue thereafter until cancelled by written or oral notice given by Applicant to the Cooperative or by disconnection of Applicant’s service by Cooperative.
2. Constitute a contract for electric service between Applicant and Cooperative which shall continue in force until cancelled by termination of services or at least ten days written notice by either party to the other.
3. Constitute an acceptance of Applicant to membership in Cooperative with such rights and liabilities as are specified in the By-laws of Cooperative.

10. When Cooperative receives a subsequent application for service to the location for which the undersigned Applicant is applying herein and the subsequent application is submitted by someone other than the undersigned Applicant (“Successor”), Cooperative will do the following without Applicant’s consent: (a) stop billing Applicant, (b) transfer service to Successor, (c) establish an account in Successor’s name, and (d) begin billing Successor.

11. Applicant, by becoming a member, assumes no personal liability of responsibility for any debts or liabilities of Cooperative, and is expressly understood that under law Applicant’s private property cannot be attached for Cooperative debts or liabilities. However, Applicant is liable for any damages Applicant causes to Cooperative property and Applicant’s private property may be attached pursuant to a lawful judgment rendered by a court of competent jurisdiction.

12. Applicant consents to receiving autodialed and prerecorded message calls to the extent that such calls and messages are closely related to the service purchased from Cooperative. Examples of such calls include, but may not be limited to, those that: (a) warn about planned or unplanned service outages; (b) warn about extreme weather conditions approaching that might cause outages; (c) alert Applicant about utility repair work in the immediate vicinity of the location where service is provided to the Applicant; (d) provide updates about service outages or service restoration; (e) ask for confirmation of service restoration or information about lack of service; (f) provide notification of meter work, tree trimming, or other field work that directly affects Applicant’s utility service; and/or (g) provide notice about Cooperative’s potential diminishment, limitation, or disruption of electric service due to unforeseen circumstances.

13. Applicant shall inform Cooperative whenever there is a change in any of Applicant’s telephone number(s) (whether wireless or non-wireless) and other contact information.

Prepaid Agreement(Required)

Member Electronic Signature (Full Name)(Required)

Would you like to add a second applicant to your account?(Required)

Additional applicants are able to make payments, receive account information, and make changes to the account.

Yes

Is this additional applicant your spouse?(Required)

Yes

Additional Contact Name(Required)

First Middle (If no middle initial, enter 1234) Last

Additional Contact Phone(Required)

Additional Contact Email(Required)

Email Confirm Email

Additional Contact Preferred Method(Required)

Phone

Additional Contact Date of Birth(Required)

I will provide my social security number

I will not provide my social security number. I understand that I will be required to pay a deposit

Additional Contact Social Security Number

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