Midwest Energy

Request Service

You may start residential services or make changes to current service by completing and submitting this form. If you have any problems submitting your form or if you have questions regarding service, please call 1-800-222-3121.

Note: This service is only for residential customers. For a commercial account please call Customer Service at 1-800-222-3121.

Customer Information

Have you previously had, or currently have, service with Midwest Energy, Inc?*

Yes

If yes, please list previous address and name on account

First name*

Middle initial

Last name*

Email*

Phone - primary*

Phone - secondary

Social Security Number*

Driver license*

Address Where Service Will Be Started or Changed

Address*

Address 2

City*

State*

Zip*

Rural Address

Quarter

Section

Township

Range

Billing Address

Same as Service Address

Address*

Address 2

City*

State*

Zip*

Notes

Start of Service Date

NOTE: We need a minimum of 24 hours notice to start service Monday - Friday and we are closed on weekends and holidays. Please do not submit this application prior to 14 days of the date you would like service connected.

Start date*

Appointment Details

Gas meters may have been shut off, and it may be necessary for us to gain access to the home to re-light pilot lights. Someone will need to meet us at the residence so we may enter the home to relight.

Contact name*

Contact phone number*

Best available time (between 8:30am - 4:00pm)*

A service tech will contact you with appointment time for the relight.

Deposits

The deposit is based on the two-month average for the new service location. Deposits are charged to the account in four installments, with the first due up front and the remaining three installments on the first three bills.

Deposits may be waived by providing one of the following items:

A letter of credit from your previous electric or gas utility reflecting good payment history (no more than two late payments in the last 12 months). Letters of credit can be faxed to 785-783-5621.
A current customer of Midwest Energy, Inc., with a good credit standing can sign as a Third Party Guarantor for the new member.

Start Service

Request Service