Service Connect Form

Please use this secure form to supply the information required to connect an electric service in your name. When you submit the completed form, all data will be encrypted and securely transmitted to our Member Services Representatives for processing. You should hear from us regarding next steps, including any security deposit requirements, within one business day.

Type of service being connected?*

Is the property in Woodland Lakes?*

Does this property currently have, or has it ever had, electric service?*

Membership Type*

Request Type*

Account History*

Select the option below that best describes your account history, past or present, with Crawford Electric Cooperative.*

I have no account history, and I will be the only name listed on the new account.I have no account history, and my spouse’s name will also be listed on the new account.I do have account history, and only my name would be listed on the other account.I do have account history, and my spouse's name would also be listed on the other account.

Business Requirements*

I have paperwork showing active and legal incorporation in the State of Missouri.I have a document, with company letter head, listing any authorized signers.I have the IRS issued confirmation letter of EIN application, or other proof of EIN.

Reconnect Requirements*

I have a valid driver's license on-hand for myself and any additional applicant.I have access to a cell phone and email account.I am 18 years of age or older.

New Construction Requirements*

I have proof of property ownership on-hand. Only a copy of your General Warranty Deed will be accepted by the county for easements.I have a valid driver's license on-hand for myself and any additional applicant.I have access to a cell phone and email account.I am 18 years of age or older.

Service Requests Email

example@example.com

Date

Please verify that you are human*

Service Connection Form