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On a desktop computer? Download a form and fill it out on your computer.

On a phone or tablet? Consider using a free mobile app (like Adobe Fill & Sign) to complete the form.

  • Residential Member Application
     

  • Commercial Membership Application
     

  • Landlord Consent Agreement
     

  • Prepaid Electric Service Agreement
     

  • Co-op Solar Subscription Agreement
     

  • Capital Credit Claim Form
     

  • Operation Round Up Grant Applications
     

  • Job Application
     

  • Authorization to Release Account Information Form
     

  • Automatic Payment Plan Authorization Form
     

  • Nesius Scholarship Application

 

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©2021 Jasper County REMC. All Rights Reserved.

  • Home
  • Who We Are
    • Contact Us
    • Our History
    • Board Members
    • Electric Industry Careers
    • Cooperative Principles
  • Membership
    • Membership
    • SmartHub Payment & Account Gateway
    • Payment Options
    • Rates
    • Fees & Charges
    • Capital Credits
  • Programs
    • Residential Rebates
    • Commercial Rebates
    • Water Heater Rebate
    • Energy Advisor Program
    • Prepaid Electric Service
    • Solar/Wind Programs
    • Dusk-To-Dawn Lighting
    • Tree Trimming For Safety And Savings
    • Landlord Program
    • Co-op Connections
  • Community
    • Operation Round Up®
    • Student Opportunities
    • Electrical Safety
      • Safety Quiz
    • Our Mascot - Willie Wiredhand
  • High-speed Internet
    • Internet News
  • Resources
    • Co-op News
    • Forms
    • Indiana Connection Magazine
    • Economic Development
    • Service Construction Diagrams
    • Call 811 For Locates
    • Metering
    • Careers