PCEC Stop/Transfer Service Request
Use the form below to request to stop or transfer service with Platte-Clay Electric Cooperative. 24 hours advanced notice is required. Requests will be processed by the next business day.
Requested Stop Service Date:
*
/
Month
/
Day
Year
24 hours advanced notice is required.
Is the address you're moving to served by Platte-Clay Electric Cooperative?
*
Yes
No
I don't know
Account Information
Member Number
Leave blank if unknown.
Member Name
*
First Name
Last Name
Date of Birth:
*
/
Month
/
Day
Year
Date
Primary Phone:
*
Email Address:
*
Last Four Digits of Social Security Number
*
Stop Service Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Notes
Optional - (ex. moving, sold home, service not in use, etc.)
Forwarding Address: this information is used to mail checks for capital credit refunds.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
New Service Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Requested Start Service Date for New Address:
*
/
Month
/
Day
Year
Date
Do you own or rent the property?
*
Own
Rent
If renting, please list property owner's name:
Account Verification
*
This account is in my name
I am a legal representative of the account owner or next of kin
Other
Supporting Document
Browse Files
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Choose a file
Please upload a power of attorney or other document proving your legal responsibility for the management of this account.
Cancel
of
Signature:
*
Please verify that you are human
*
Submit
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