YOU MUST INCLUDE PROOF OF IDENTIFICATION SUCH AS A DRIVER'S LICENSE OR OTHER U.S. GOVERNMENT ISSUED ID.

Please complete and sign the form, then you can either fax the form along with proof of identification to 662-234-0046 or you can scan and email the form and proof of identification to service@northeastpower.org.

To view the forms you will need Adobe Acrobat Reader.

• Service Application (pdf)
• Disconnection Request (pdf)
• Transfer Request (pdf)

Available July 1, 2005

Copyright 2005 - 2006 North East Mississippi Electric Power Association
webmaster@northeastpower.org