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Primary Account Holder
Service Address
Click the appropriate title
Is this a 30 day or less rental unit?
Is your mailing address different than your service address?
*All voting material for annual elections will be sent by mail to the address on file.
Mailing Address
Would you like to add a spouse to your account?
Adding your spouse, or another individual, as a secondary account holder allows either person to be authorized to request information or make any changes on your account.
Spouse Information
Spouse Name
Service connections are done Monday through Friday. For same day service YVEA must receive form before 3:30 p.m. MST, or after hours fees will apply. 
Would you like to sign up for AutoPay via bank draft?
Member may also go paperless and pay bill with a credit card with our SmartHub app.
Bank Information
Account Type
I authorize Yampa Valley Electric Association (YVEA) to process entries to my financial account in the amount of my current monthly electric billing obligation. This authority will remain in effect until written notice is given by either party to terminate the authorization. Notification of cancellation shall be effective upon receipt of the written notice. 
I agree that YVEA is authorized to delete and change information regarding my financial institution after verification of my personal information. 
Should an erroneous debit be made to my account, I authorize YVEA and my financial institution to stop payment, reverse the entry, or make any adjustment necessary to my account to correct the erroneous entry. A written notice explaining the changes will be sent to me by YVEA. I understand that YVEA may assess a fee of $35 if my financial institution dishonors the electronic transaction. 
Are you disconnecting your service at your current location?
Disconnecting Service Address
Service connections are done Monday through Friday. For same day service YVEA must receive form before 3:30 p.m. MST, or after hours fees will apply. 
Agree to participate in YVEA's Round-Up Program so that each monthly bill will be rounded up to the next dollar and the accumulated round-up funds will be given to YVEA's Caring Consumers Foundation dba/Operation RoundUp for distribution for charitable purposes. The average cost per year is $6.
Service Agreement
The Applicant agrees to be responsible for the electric charges at the location designated above until such time that the Applicant requests and receives discontinuance of service. It is agreed that all bills will be paid by the appropriate due date and failure to do so may result in discontinuance of service. This Application for Electric Service shall constitute a service contract between the Applicant and the Association, a grant of security interests in applicant's future capital credits, and the Applicant agrees to be bound by the Bylaws, Rules and Regulations of the Association. The applicant agrees that any information contained in this request may be used to collect on a delinquent account. The Applicant also agrees to pay late fees (penalty interest) of 1.5% per month on all delinquent charges until paid in full, and agrees to promptly reimburse the Association for all collection costs and attorney's fees incurred by the Association to collect delinquent amounts owed on Applicant's account after default.
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